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Micaela Mireles, FNP
Family Nurse Practitioner in Modesto, California
NPI 1578325007

Micaela Mireles is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Micaela Mireles practices in Modesto, CA and has the professional credentials of FNP. The NPI Number for Micaela Mireles is 1578325007 and holds a License No. 95028698 (California).

The current practice location address for Micaela Mireles is 1300 Mable Ave Ste C, Modesto, CA and can be reached out via phone at 209-577-2799.

Location: 1300 Mable Ave Ste C, Modesto, CA, 95355-1120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578325007
Provider Name
Micaela Mireles
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1300 Mable Ave Ste C, Modesto, CA, 95355-1120
Phone Number
209-577-2799
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Mable Ave Ste C
City
Modesto
State
California
Zip
95355-1120
Phone Number
209-577-2799
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Mable Ave Ste C
City
Modesto
State
California
Zip
95355-1120
Phone Number
209-577-2799
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95028698 (California)
Definition
Definition to come...
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