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Individual

MIRANDA BRICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP029826
PA

Other

Enumeration date
07/22/2024
Last updated
01/07/2025
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