Emily Olivia Miranda, APRN,CNP
Nurse Practitioner, Neonatal, Critical Care in Fargo, ND. Individual provider (NPI-1).
NPI number1710503545
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1710503545
- Entity type
- Individual (NPI-1)
- Name
- Emily Olivia Miranda
- Credential
- APRN,CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | R49566 | ND | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3000 32nd Ave SFargo, ND 58103-6132
Phone 701-364-8000
Mailing address
400 E 3rd StD, MN 55805-1951
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