Miranda, Vicki Jane

Miranda, Vicki Jane is an individual health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miranda, Vicki Jane can be contacted via phone (661) 949-5000.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534-2814
Phone: (661) 949-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP15023 California

Profile Details

NPI number 1982620902
LBN Legal business name Miranda, Vicki Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 16th, 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 1982620902 NPPES
California MEDICAID RN508922

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