Individual provider · Type 1 NPI
Joanne Lee Miracle, ANP-C; GNP-C
Adult Health Nurse Practitioner · Milwaukie, OR
NPI number
1922043462
Active
Practice location
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Fax (503) 905-0495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 200050105NP (OR) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 200050105NP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1922043462
Joanne Lee Miracle, ANP-C; GNP-C's National Provider Identifier is 1922043462, issued on Jun 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Milwaukie, OR. The record was last updated on Aug 10, 2020.