Miranda Sanborn, CRNP | |
32 Clearwater Ct, Damascus, MD 20872-2334 | |
(301) 253-1862 | |
Not Available |
Full Name | Miranda Sanborn |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 32 Clearwater Ct, Damascus, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578804654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R150998 (Maryland) | Primary |
Entity Name | Bhg Lxviii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730866112 PECOS PAC ID: 0648632158 Enrollment ID: O20230816000521 |
Mailing Address | Practice Location Address |
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Miranda Sanborn, CRNP 32 Clearwater Ct, Damascus, MD 20872-2334 Ph: (301) 253-1862 | Miranda Sanborn, CRNP 32 Clearwater Ct, Damascus, MD 20872-2334 Ph: (301) 253-1862 |
Irene Mah Mebune, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10407 Damascus Park Ln, Damascus, MD 20872 Phone: 301-675-4792 | |
Ms. Judith Stevens Moriarty, CNM, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26005 Ridge Rd, #200, Damascus, MD 20872 Phone: 301-414-2300 | |
Alexa Tanner, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26215 Ridge Rd, Damascus, MD 20872 Phone: 301-253-1100 Fax: 301-825-5163 | |
Ms. Dominique Nicole Shaw, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26005 Ridge Rd Ste 200, Damascus, MD 20872 Phone: 301-414-2300 | |
Mrs. Christine Deslauriers, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10959 Middleboro Dr, Damascus, MD 20872 Phone: 301-370-6334 |