Smith, Miranda P

Smith, Miranda P is an individual health care provider with primary practice located at 2986 Us Highway 431 , Boaz AL 35957-5848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Miranda P can be contacted via phone (256) 840-8181.

Contact Information

Primary practice address
2986 Us Highway 431 Boaz AL 35957-5848
Phone: (256) 840-8181
Fax: (256) 344-9030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1117410 Alabama

Profile Details

NPI number 1568702611
LBN Legal business name Smith, Miranda P
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Jun 10th, 2015 - about 9 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 1568702611 NPPES
Alabama Other 1-117410 AL LICENSE
Alabama Other 102I503103 AL LICENSE
Alabama MEDICAID 172427 AL LICENSE
Alabama Other 511-61302 AL LICENSE

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