Kopnisky, Miranda L

Kopnisky, Miranda L is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176-3225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kopnisky, Miranda L can be contacted via phone (781) 979-3635.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176-3225
Phone: (781) 979-3635
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4046 Massachusetts

Profile Details

NPI number 1578872255
LBN Legal business name Kopnisky, Miranda L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Oct 24th, 2012 - about 12 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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