Individual
TERRI MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 BABCOCK BLVD, UPMC PASSAVANT IMAGING SERVICES, PITTSBURGH, PA 15237-5815
(412) 630-7624
Mailing address
5004 NORTHFIELD DR, SUITE 3950, GIBSONIA, PA 15044-8004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006792W
PA
Other
Enumeration date
03/26/2006
Last updated
04/06/2021
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