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Miranda Larae Vancil, APRN
Family Nurse Practitioner in Derby, Kansas
NPI 1932637725

Miranda Larae Vancil is a Family Nurse Practitioner based in Derby, KS and is specialized in Family. Miranda Larae Vancil practices in Derby, KS and has the professional credentials of APRN. The NPI Number for Miranda Larae Vancil is 1932637725 and holds a License No. 53-77657 (Kansas).

The current practice location address for Miranda Larae Vancil is 1410 N Woodlawn Blvd, Derby, KS and can be reached out via phone at 316-788-3741 and via fax at 316-788-5198.

Location: 1410 N Woodlawn Blvd, Derby, KS, 67037-2953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932637725
Provider Name
Miranda Larae Vancil
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1410 N Woodlawn Blvd, Derby, KS, 67037-2953
Phone Number
316-788-3741
Fax Number
316-788-5198
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 KS
institution
Provider Business Practice Location Address Details
Address
1410 N Woodlawn Blvd
City
Derby
State
Kansas
Zip
67037-2953
Phone Number
316-788-3741
Fax Number
316-788-5198
person
Provider Business Mailing Address Details
Address
1410 N Woodlawn Blvd
City
Derby
State
Kansas
Zip
67037-2953
Phone Number
316-788-3741
Fax Number
316-788-5198
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
53-77657 (Kansas)
Definition
Definition to come...
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