person
Corrin Miranda, FNP
Adult Health Nurse Practitioner in Long Grove, Illinois
NPI 1306370838

Corrin Miranda is an Adult Health Nurse Practitioner based in Long Grove, IL and is specialized in Adult Health. Corrin Miranda practices in Long Grove, IL and has the professional credentials of FNP. The NPI Number for Corrin Miranda is 1306370838 and holds a License No. 209015832 (Illinois).

The current practice location address for Corrin Miranda is 3880 Salem Lake Dr # F, Long Grove, IL and can be reached out via phone at 847-719-2220 and via fax at 847-719-2265.

Location: 3880 Salem Lake Dr # F, Long Grove, IL, 60047-5292
person
Provider Profile Details
NPI Number
1306370838
Provider Name
Corrin Miranda
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3880 Salem Lake Dr # F, Long Grove, IL, 60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209015832 05 IL
institution
Provider Business Practice Location Address Details
Address
3880 Salem Lake Dr # F
City
State
Zip
60047
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider Business Mailing Address Details
Address
3880 Salem Lake Dr # F
City
State
Zip
60047
Phone Number
847-719-2220
Fax Number
847-719-2265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209015832 (Illinois)
Definition
Definition to come...
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