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Miranda Lynn Myers

Physician Assistant in Berea, OH. Individual provider (NPI-1).

NPI number1962024745
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1962024745
Entity type
Individual (NPI-1)
Name
Miranda Lynn Myers
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2020
Certification date
Jul 9, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

275 Eastland Rd
Berea, OH 44017-2005

Phone 440-826-2221

Mailing address

275 Eastland Rd
Berea, OH 44017-2005

Phone 440-826-2221

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