Miranda Chumpitaz, Florencia Karina

Miranda Chumpitaz, Florencia Karina is an sole proprietor health care provider with primary practice located at 359 Lakeport Blvd , Lakeport CA 95453-5412. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miranda Chumpitaz, Florencia Karina can be contacted via phone (707) 513-6002.

Contact Information

Primary practice address
359 Lakeport Blvd Lakeport CA 95453-5412
Phone: (707) 513-6002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95027548 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95027548 California

Profile Details

NPI number 1356121404
LBN Legal business name Miranda Chumpitaz, Florencia Karina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2023
Last updated Oct 9th, 2023 - about last year

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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