MEDICARE: MIRANDA K AUGUSTINE

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	374J00000X	Doula		MI

General Provider Information

NPI Number	:	1760319362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA K AUGUSTINE

Provider Business Mailing Address
First Line	:	164 PINE KNOLL DR APT 2B
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-7705
Country	:	US
Telephone Number	:	269-358-5432
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 PINE KNOLL DR APT 2B
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-7705
Country	:	US
Telephone Number	:	269-358-5432
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	06/10/2026

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Directions to “ MIRANDA K AUGUSTINE ” Practice Location

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