Hobbs, Miranda Jo

Hobbs, Miranda Jo is an individual health care provider with primary practice located at 639 N Mulberry St , Elizabethtown KY 42701-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hobbs, Miranda Jo can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 N Mulberry St Elizabethtown KY 42701-1931
Phone: (270) 737-4600
Fax: (270) 737-1722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X L91-044-808 Kentucky

Profile Details

NPI number 1811995749
LBN Legal business name Hobbs, Miranda Jo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 19th, 2008 - about 16 years 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 1811995749 NPPES
Kentucky MEDICAID 74010877

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