Individual provider · Type 1 NPI

Miranda Salib Isom

Nurse Practitioner · Phoenix, AZ

NPI number 1497023865 Active

Practice location

4550 E Bell Road, Suite 172
Phoenix, AZ 85032

Call (480) 443-8400 Map

Fax (480) 443-8697

Mailing address

4550 E Bell Rd, Suite 172
Phoenix, AZ 85032-9306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000X5110 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497023865

Miranda Salib Isom's National Provider Identifier is 1497023865, issued on Dec 13, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 19, 2013.