Individual provider · Type 1 NPI
Evelyn Eileen Miranda
Family Nurse Practitioner · Los Angeles, CA
NPI number
1053988584
Active
Practice location
1100 N State St
Los Angeles, CA 90033-5000
Mailing address
1100 N State St. - Department Of Ophthalmology
Los Angeles, CA 90033-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95016999 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053988584
Evelyn Eileen Miranda's National Provider Identifier is 1053988584, issued on Jun 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 30, 2024.