Ms Miranda Carole Brown, RDN | |
1638 S Carson Ave Apt 403, Tulsa, OK 74119-4235 | |
(918) 671-0880 | |
Not Available |
Full Name | Ms Miranda Carole Brown |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1638 S Carson Ave Apt 403, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336539709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 2054 (Oklahoma) | Primary |
Provider Name | Nourish, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
---|---|
Ms Miranda Carole Brown, RDN 1638 S Carson Ave Apt 403, Tulsa, OK 74119-4235 Ph: (918) 671-0880 | Ms Miranda Carole Brown, RDN 1638 S Carson Ave Apt 403, Tulsa, OK 74119-4235 Ph: (918) 671-0880 |
Mrs. Deanna Gum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Suite 800, Tulsa, OK 74103 Phone: 918-585-3045 Fax: 918-585-3047 | |
Brittany Bennett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Mrs. Kristin Lynne Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-7201 | |
Hillcrest Hospital South Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4000 Fax: 918-294-4818 | |
Amanda Kaylene Humphreys, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Tulsa, OK 74103 Phone: 918-585-3045 | |
Christie Anne Huffman, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2815 S Sheridan Rd, Tulsa, OK 74129 Phone: 918-619-4300 Fax: 918-619-4322 | |
Mrs. Melissa L Davis-whitenack, M.S., R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5870 S. 76th East Avenue, Tulsa, OK 74145 Phone: 918-622-9099 |