Miranda, Valerie

Miranda, Valerie is an individual health care provider with primary practice located at 2423 W Dunlap Ave Suite # 150, Phoenix AZ 85021-2830. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Miranda, Valerie can be contacted via phone (602) 216-6862.

Contact Information

Primary practice address
2423 W Dunlap Ave Suite # 150 Phoenix AZ 85021-2830
Fax: (602) 216-9745
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36614 Arizona
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 36614 Arizona

Profile Details

NPI number 1639147838
LBN Legal business name Miranda, Valerie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639147838 NPPES
Arizona Other 204996 AHCCCS ID

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