Mirmotahari, Miriam Elizabeth

Mirmotahari, Miriam Elizabeth is an individual health care provider with primary practice located at 15030 7Th St , Victorville CA 92395-3811. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mirmotahari, Miriam Elizabeth can be contacted via phone (833) 438-8763.

Contact Information

Primary practice address
15030 7Th St Victorville CA 92395-3811
Phone: (833) 438-8763
Fax: (833) 438-8700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95019163 California

Profile Details

NPI number 1851911135
LBN Legal business name Mirmotahari, Miriam Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated Feb 6th, 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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