Miranda, Raydel

Miranda, Raydel is an sole proprietor health care provider with primary practice located at 2240 W Monte Vista Ave , Turlock CA 95382-9667. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Miranda, Raydel can be contacted via phone (209) 722-4842.

Contact Information

Primary practice address
2240 W Monte Vista Ave Turlock CA 95382-9667
Phone: (209) 722-4842
Fax: (209) 667-1269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11006526 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95022834 California

Profile Details

NPI number 1770856890
LBN Legal business name Miranda, Raydel
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2012
Last updated Apr 26th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770856890 NPPES
Florida Other APRN11006526 BOARD OF NURSING

Popular Providers