Individual provider · Type 1 NPI
Miranda Louise Faris, NURSE PRACTITIONER
Family Nurse Practitioner · Demotte, IN
NPI number
1659903144
Active
Practice location
11188 N 550 E
Demotte, IN 46310-8947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F07191270 (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659903144
Miranda Louise Faris, NURSE PRACTITIONER's National Provider Identifier is 1659903144, issued on Feb 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Demotte, IN. The record was last updated on Feb 12, 2020.