Rifenburgh, Miranda Winifred

Rifenburgh, Miranda Winifred is an individual health care provider with primary practice located at 222 N Pacific Coast Hwy Ste 1420 , El Segundo CA 90245-5648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Rifenburgh, Miranda Winifred can be contacted via phone (818) 318-2530.

Contact Information

Primary practice address
222 N Pacific Coast Hwy Ste 1420 El Segundo CA 90245-5648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95012259 California

Profile Details

NPI number 1164073755
LBN Legal business name Rifenburgh, Miranda Winifred
Credentials MSN, AGPCNP-BC, CWS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2019
Last updated Jan 5th, 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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