Miranda King, NP | |
61 Delano St, Pulaski, NY 13142-1400 | |
(315) 298-6564 | |
(315) 298-7831 |
Full Name | Miranda King |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 61 Delano St, Pulaski, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588351746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 351080 (New York) | Primary |
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
Mailing Address | Practice Location Address |
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Miranda King, NP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Miranda King, NP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Jody Lee Hipple, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano Street, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 | |
Heidi Marie Kinnally, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7831 | |
Megan Hollister, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Lindsay Ogorchock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Jessica Kimball, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 | |
Blaze Fahnestock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 | |
Annette Digby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 |