Pogue, Miranda Francis
Pogue, Miranda Francis is an individual health care provider with primary practice located at 320 E Highway 50 , O Fallon IL 62269-2704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pogue, Miranda Francis can be contacted via phone (618) 624-3368.Contact Information
Primary practice address
320 E Highway 50
O Fallon IL 62269-2704
Phone: (618) 624-3368
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.010340 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2012008985 | Missouri |
Profile Details
| NPI number | 1427324656 |
|---|---|
| LBN Legal business name | Pogue, Miranda Francis |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2012 |
| Last updated | Jan 4th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427324656 | NPPES |
| Missouri | MEDICAID | 14773424656 |
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