Active NPIIndividual provider

Miranda A Bacon, HIS

Audiologist in Lebanon, New Hampshire

NPI Number1265270854
Practice location
1 Medical Center Dr, Lebanon, NH 03756-1000
Fax
—
Last updated
September 6, 2024

Miranda Anne Bacon is an Audiologist based in Lebanon, NH. Miranda Anne Bacon practices in Lebanon, NH and has the professional credentials of HIS. The NPI Number for Miranda Anne Bacon is 1265270854 and holds a License No. 2048 (NH). The current practice location address for Miranda Anne Bacon is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5000.

Provider Profile Details

NPI Number
1265270854
Provider Name
Miranda Anne Bacon
Credential
HIS
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH 03756-1000
Phone Number
603-650-5000
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2024
Last Update Date
September 6, 2024
Certification Date
September 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-1000
Zip
03756-1000
Phone Number
603-650-5000
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810
Phone Number
603-308-1472

License Information

License Number (1)
2048
License State (1)
NH
Taxonomy (1)
Audiologist-Hearing Aid Fitter · 237600000X
License Number (2)
A850
License State (2)
NH
Taxonomy (2)
Audiologist · 231H00000X
License Number (3)
2048
License State (3)
NH
Taxonomy (3)
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miranda A Bacon, HIS?

The NPI number of Miranda A Bacon, HIS is 1265270854. It was assigned on July 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Miranda A Bacon, HIS?

Miranda A Bacon, HIS is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NH under license number 2048.

Where does Miranda A Bacon, HIS practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265270854 directly on the NPPES registry website.

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