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Individual

CATHERINE ANNE MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
26800 CROWN VALLEY PKWY STE 325, MISSION VIEJO, CA 92691
(949) 364-6000
(949) 364-9561
Mailing address
26800 CROWN VALLEY PKWY STE 325, MISSION VIEJO, CA 92691-6384
(949) 364-6000
(949) 364-9561

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
713758
CA
363LF0000X
Family Nurse Practitioner
Primary
F0812375
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
713758
RN LIC #
CA
01
F0812375
FNP PROV LIC #
CA
Enumeration date
01/07/2013
Last updated
11/08/2021
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