Anderson, Miranda Grace

Anderson, Miranda Grace is an individual health care provider with primary practice located at 711 State Ave Ne , Olympia WA 98506-3984. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Anderson, Miranda Grace can be contacted via phone (360) 943-0780.

Contact Information

Primary practice address
711 State Ave Ne Olympia WA 98506-3984
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X CG61585709 Washington

Profile Details

NPI number 1235976150
LBN Legal business name Anderson, Miranda Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2024
Last updated Jul 9th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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