Steven Miranda, LPN | |
1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 | |
(707) 391-0538 | |
Not Available |
Full Name | Steven Miranda |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 1471 Mountain View Ln Apt 4, Idaho Falls, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679951545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN-45963 (Idaho) | Primary |
Mailing Address | Practice Location Address |
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Steven Miranda, LPN 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 Ph: (707) 391-0538 | Steven Miranda, LPN 1471 Mountain View Ln Apt 4, Idaho Falls, ID 83402-1861 Ph: (707) 391-0538 |
Audrey Dalley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 496 A St, Idaho Falls, ID 83402 Phone: 208-552-7100 Fax: 208-552-7101 | |
Allison Tolman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6198 S 46th E, Idaho Falls, ID 83406 Phone: 307-272-7801 |