Healthcare Provider Details

I. General information

NPI: 1134883663
Provider Name (Legal Business Name): MIRANDA VICTORIA FRANCO MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MIRANDA VICTORIA BURKE

II. Dates (important events)

Enumeration Date: 10/31/2021
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6679 HIGHWAY 7
BISMARCK AR
71929-7179
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-865-2855
  • Fax: 501-865-2868
Mailing address:
  • Phone: 501-865-2855
  • Fax: 501-865-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number215425
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: