MEDICARE: MIRANDA MEUNIER NP

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
1	363L00000X	Nurse Practitioner	36049	MT
2	363LG0600X	Gerontology Nurse Practitioner	NUR-APRN-LIC-100760	MT

General Provider Information

NPI Number	:	1588838213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA MEUNIER NP

Provider Business Mailing Address
First Line	:	1423 38TH ST W UNIT 3
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7524
Country	:	US
Telephone Number	:	406-430-2035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 38TH ST W UNIT 3
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102
Country	:	US
Telephone Number	:	406-430-2035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	09/05/2024

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