Mrs Miranda Dawn Antonio, AA is a
Counselor based in Tularosa, New Mexico. Mrs Miranda Dawn Antonio is licensed to practice in * (Not Available) (license number ) and her current practice location is
253 Pecos Rd, Tularosa, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 379-4838.
NPI number for Mrs Miranda Dawn Antonio is 1104008432 and her current mailing address is 253 Pecos Rd, Tularosa, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104008432.
Healthcare Provider's Profile
Full Name | Mrs Miranda Dawn Antonio |
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Gender | Female |
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Speciality | Counselor |
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Location | 253 Pecos Rd, Tularosa, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104008432
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 11/28/2007
Medical Identifiers
Medical identifiers for Mrs Miranda Dawn Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104008432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Miranda Dawn Antonio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Miranda Dawn Antonio, AA 253 Pecos Rd, Tularosa, NM 88352-9666 Ph: (505) 379-4838 | Mrs Miranda Dawn Antonio, AA 253 Pecos Rd, Tularosa, NM 88352-9666 Ph: (505) 379-4838 |
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