Individual provider · Type 1 NPI
Jeannie Teresa Miranda, RN BS
Home Health Registered Nurse · Spring Glen, NY
NPI number
1306168349
Active
Practice location
39 Old Mountain Road
Spring Glen, NY 12483-0441
Fax (845) 647-3142
Mailing address
PO Box 441
Spring Glen, NY 12483-0441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 271920 (NY) |
Home Health Registered Nurse: Definition to come...
About NPI 1306168349
Jeannie Teresa Miranda, RN BS's National Provider Identifier is 1306168349, issued on Feb 18, 2010. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Spring Glen, NY. The record was last updated on Feb 18, 2010.