Individual provider · Type 1 NPI

Miranda Tadevich

Family Nurse Practitioner · Tracy, CA

NPI number 1669107512 Active

Practice location

445 W Eaton Ave
Tracy, CA 95376-3420

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPN.0997765 (CO)
Family Nurse Practitioner Primary 363LF0000XNP95029206 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1669107512

Miranda Tadevich's National Provider Identifier is 1669107512, issued on Jul 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tracy, CA. The record was last updated on May 20, 2024.