Hernly, Miranda R

Hernly, Miranda R is an individual health care provider with primary practice located at 25 W Main St , Austin IN 47102-1303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hernly, Miranda R can be contacted via phone (812) 794-8100.

Contact Information

Primary practice address
25 W Main St Austin IN 47102-1303
Phone: (812) 794-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71013171A Indiana

Profile Details

NPI number 1831815216
LBN Legal business name Hernly, Miranda R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2022
Last updated Mar 25th, 2024 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831815216 NPPES
Indiana MEDICAID 300069066

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