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Mary Anne Miranda, NP-C
Adult Health Nurse Practitioner in Port Jefferson Station, New York
NPI 1942492897

Mary Anne Miranda is an Adult Health Nurse Practitioner based in Central Islip, NY and is specialized in Adult Health. Mary Anne Miranda practices in Port Jefferson Station, NY and has the professional credentials of NP-C. The NPI Number for Mary Anne Miranda is 1942492897 and holds a License No. F304650 (New York).

The current practice location address for Mary Anne Miranda is 931 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-331-7200.

Location: 931 Hallock Ave, Port Jefferson Station, NY, 11722-4111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942492897
Provider Name
Mary Anne Miranda
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
931 Hallock Ave, Port Jefferson Station, NY, 11722-4111
Phone Number
631-331-7200
Fax Number
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
931 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1228
Phone Number
631-331-7200
Fax Number
person
Provider Business Mailing Address Details
Address
931 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1228
Phone Number
631-331-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F304650 (New York)
Definition
Definition to come...
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