Individual provider · Type 1 NPI

Miranda Lee Goforth, FNP

Family Nurse Practitioner · Eureka Springs, AR

NPI number 1891015467 Active

Practice location

146 Passion Play Rd Ste A
Eureka Springs, AR 72632-9455

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR874514 (AR)
Family Nurse Practitioner 363LF0000X15025 (TN)
Family Nurse Practitioner Primary 363LF0000X218923 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1891015467

Miranda Lee Goforth, FNP's National Provider Identifier is 1891015467, issued on Jun 7, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eureka Springs, AR. The record was last updated on Jun 17, 2022.