Individual
MS. GUADALUPE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, FNP-C
Contact information
Practice address
5841 S MARYLAND AVE # MC1027, CHICAGO, IL 60637-1443
(773) 702-2355
(773) 834-0486
Mailing address
5841 S MARYLAND AVE # MC1027, CHICAGO, IL 60637-1443
(773) 702-2355
(773) 834-0486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020462
IL
Other
Enumeration date
01/14/2021
Last updated
02/06/2021
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