Individual provider · Type 1 NPI
Vicki Lynn Miracle, R.N.
Community Health Registered Nurse · Beavercreek, OR
NPI number
1376701888
Active
Practice location
19824 S Butte Rd
Beavercreek, OR 97004-8847
Fax (503) 336-1850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 090000670RN (OR) |
Community Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1376701888
Vicki Lynn Miracle, R.N.'s National Provider Identifier is 1376701888, issued on May 30, 2008. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Beavercreek, OR. The record was last updated on Jun 2, 2008.