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NPI Code Detail

MEDICARE: DR. MIRANDA KNAPP PHD, DNP, APRN

MEDICARE: DR. MIRANDA KNAPP PHD, DNP, APRN
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
1163WG0000XGeneral Practice Registered Nurse396960OH

General Provider Information

NPI Number : 1528419884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRANDA KNAPP PHD, DNP, APRN
Provider Business Mailing Address
First Line : 3800 VICTORY PKWY UNIT 1
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1092
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3800 VICTORY PKWY UNIT 1
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1092
Country : US
Telephone Number : 937-231-6105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 03/04/2026

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