Individual provider · Type 1 NPI
Miranda Joy Mogle, DNP
Student in an Organized Health Care Education/Training Program · Chatham, IL
NPI number
1801614227
Active
Practice location
232 Eagle Ridge Dr
Chatham, IL 62629-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209030896 (IL) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Chatham
About NPI 1801614227
Miranda Joy Mogle, DNP's National Provider Identifier is 1801614227, issued on Oct 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chatham, IL. The record was last updated on Dec 10, 2024.