Individual provider · Type 1 NPI

Miranda Ziesman

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1730980624 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Fax (682) 885-7520

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X947713 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X1195351 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730980624

Miranda Ziesman's National Provider Identifier is 1730980624, issued on Mar 24, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 11, 2025.