Cristopher Mangalindan Miranda, ARNP
Nurse Practitioner, Psych/Mental Health in Port Orchard, WA. Individual provider (NPI-1).
NPI number1659002145
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1659002145
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cristopher Mangalindan Miranda
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP61316746 | WA | Yes |
Practice location
2456 Glenn Ct SePort Orchard, WA 98366-3030
Phone 360-689-1706
Mailing address
11802 Trailwood Pl NwSilverdale, WA 98383-8618
Phone 360-689-1706
Other practice locations
11800 Trailwood Pl Nw
Silverdale, WA 98383-8618
Silverdale, WA 98383-8618
Phone 360-689-1706
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