Individual provider · Type 1 NPI
Jeffrey J. Mirra, R.N.
Home Health Registered Nurse · St. Petersburg, FL
NPI number
1205177151
Active
Practice location
3301 58th Ave N Lot 459
St. Petersburg, FL 33714-1352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | RN9356525 (FL) |
Home Health Registered Nurse: Definition to come...
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About NPI 1205177151
Jeffrey J. Mirra, R.N.'s National Provider Identifier is 1205177151, issued on Mar 1, 2013. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 1, 2013.