Individual provider · Type 1 NPI
Manuel Miranda Lata Jr., RN
Psychiatric/Mental Health Registered Nurse · Auburn, WA
NPI number
1386135895
Active
Practice location
505 29th St SE
Auburn, WA 98002-7541
Fax (206) 302-2210
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | RN60680518 (WA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1386135895
Manuel Miranda Lata Jr., RN's National Provider Identifier is 1386135895, issued on May 21, 2018. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Auburn, WA. The record was last updated on May 21, 2018.