Organization · Type 2 NPI

Miracle Healthcare LLC

Family Nurse Practitioner · Bolivar, TN

NPI number 1780908228 Active

Practice location

649B W Mcneal St
Bolivar, TN 38008-2519

Fax (731) 658-2886

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

Another provider at this address

Clark Family Clinic, LLCPrimary Care Clinic/Center Bolivar, TN NPI 1801391719

About NPI 1780908228

Miracle Healthcare LLC's National Provider Identifier is 1780908228, issued on Mar 25, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bolivar, TN. The record was last updated on Mar 25, 2010.