Individual provider · Type 1 NPI
Miranda Lynne Sisco
Peer Specialist · Terlton, OK
NPI number
1811782832
Active
Practice location
5484 W Anthony Rd
Terlton, OK 74081-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1811782832
Miranda Lynne Sisco's National Provider Identifier is 1811782832, issued on Apr 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Terlton, OK. The record was last updated on Apr 10, 2025.