Individual provider · Type 1 NPI
Danielruben Miranda, NP
Psychiatric/Mental Health Nurse Practitioner · Pomona, CA
NPI number
1619629367
Active
Practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
1201 S Euclid Ave Apt 5
Pasadena, CA 91106-4272
Other practice locations
- 2650 E Foothill Blvd, Pasadena, CA 91107-3439 · (626) 577-2261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95228818 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025344 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619629367
Danielruben Miranda, NP's National Provider Identifier is 1619629367, issued on Jan 24, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pomona, CA. The record was last updated on Jan 28, 2024.