Individual provider · Type 1 NPI
Ekaterina Mironova, AG-ACNP
Acute Care Nurse Practitioner · Derry, NH
NPI number
1740697960
Active
Practice location
15 Tsienneto Rd
Derry, NH 03038-1557
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN2329856 (MA) |
| Acute Care Nurse Practitioner | 363LA2100X | TAP5715 (AZ) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 087881-23 (NH) |
Acute Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1740697960
Ekaterina Mironova, AG-ACNP's National Provider Identifier is 1740697960, issued on Jul 21, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Derry, NH. The record was last updated on Oct 26, 2022.