Rebekkah Miranda, AG-ACNP
Nurse Practitioner, Acute Care in Draper, UT. Individual provider (NPI-1).
NPI number1497535751
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1497535751
- Entity type
- Individual (NPI-1)
- Name
- Rebekkah Miranda
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2023
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 8311663-4405 | UT | Yes |
Practice location
15123 S Heather Stone CirDraper, UT 84020-5718
Phone 843-263-4258
Mailing address
329 E 400 SProvo, UT 84606-4735
Phone 843-263-4258
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