Healthcare Provider Details

I. General information

NPI: 1467393967
Provider Name (Legal Business Name): MIRA JOYNER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 RIVERGATE LN
DURANGO CO
81301-7487
US

IV. Provider business mailing address

58 COUNTY ROAD 221
DURANGO CO
81303-8241
US

V. Phone/Fax

Practice location:
  • Phone: 970-247-3537
  • Fax:
Mailing address:
  • Phone: 970-903-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN1683204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: