Individual provider · Type 1 NPI

Miranda Wisniowski, CPNP-AC

Pediatric Nurse Practitioner · Nashville, TN

NPI number 1366740763 Active

Practice location

310 25th Ave N, Ste. 204
Nashville, TN 37203-1515

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X20577 (TN)
Pediatric Nurse Practitioner Primary 363LP0200X20577 (TN)
Registered Nurse 163W00000X168998 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366740763

Miranda Wisniowski, CPNP-AC's National Provider Identifier is 1366740763, issued on Mar 9, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nashville, TN. The record was last updated on Mar 2, 2026.