Individual provider · Type 1 NPI

Miranda Krishna, NP-C

Family Nurse Practitioner · Poplar Bluff, MO

NPI number 1700314010 Active

Practice location

225 Physicians Park Ste 400
Poplar Bluff, MO 63901-3923

Fax (573) 727-5599

Mailing address

PO Box 801143
Kansas City, MO 64180-1143

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2012022527 (MO)
Family Nurse Practitioner Primary 363LF0000X2016041522 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1700314010

Miranda Krishna, NP-C's National Provider Identifier is 1700314010, issued on May 31, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Mar 4, 2021.