Danielruben Miranda, NP
Nurse Practitioner, Psych/Mental Health in Pomona, CA. Individual provider (NPI-1).
NPI number1619629367
StatusActive
Last updated in NPPESJan 28, 2024
Details
- NPI
- 1619629367
- Entity type
- Individual (NPI-1)
- Name
- Danielruben Miranda
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 28, 2024
- Last updated
- Jan 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95025344 | CA | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 95228818 | CA |
Practice location
831 E Arrow HwyPomona, CA 91767-2535
Phone 909-398-4383
Mailing address
1201 S Euclid Ave Apt 5Pasadena, CA 91106-4272
Other practice locations
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Pasadena, CA 91107-3439
Phone 626-577-2261
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All 9 Psychiatric/Mental Health Nurse Practitioner providers in Pomona · All 6,044 providers in Pomona
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