Individual provider · Type 1 NPI
Miranda Lynn Waraxa, NP
Adult Health Nurse Practitioner · Milwaukee, WI
NPI number
1902464233
Active
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Fax (414) 955-6214
Other practice locations
- 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 · (414) 955-8296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 170741-30 (WI) |
| Gerontology Nurse Practitioner | 363LG0600X | 170741 (WI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 170741 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1902464233
Miranda Lynn Waraxa, NP's National Provider Identifier is 1902464233, issued on Jun 2, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 27, 2019.