Individual provider · Type 1 NPI
Miranda Louise Revis, ATS
Student in an Organized Health Care Education/Training Program · Cleveland, OH
NPI number
1245730381
Active
Practice location
1633 Pleasantdale Rd Apt 8
Cleveland, OH 44109-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245730381
Miranda Louise Revis, ATS's National Provider Identifier is 1245730381, issued on Feb 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Feb 15, 2018.