Mary Anne Miranda, NP-C
Nurse Practitioner · Port Jefferson Station, NY
UnclaimedNP-CNPI 1942492897
- Primary taxonomy
- 363LA2200X
- Enumerated
- 2007-08-14
- Practice location
- Port Jefferson Station, NY
- Last NPPES update
- 2014-01-13
State licenses
- NY · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.