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NPI Code Detail

MEDICARE: STEPHANIE MIRAMONTES

MEDICARE: STEPHANIE MIRAMONTES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1508579764
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MIRAMONTES
Provider Business Mailing Address
First Line : PO BOX 874761
Second Line :
City : WASILLA
State : AK
Zip : 99687-4761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 S SNODGRASS DR
Second Line :
City : PALMER
State : AK
Zip : 99645-9750
Country : US
Telephone Number : 907-373-4732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2023
Last Update Date : 01/03/2023

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Directions to “ STEPHANIE MIRAMONTES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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