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NPI Code Detail

MEDICARE: MIRANDA SHINEE CAMERON

MEDICARE: MIRANDA SHINEE CAMERON
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
11041C0700XClinical Social WorkerIC-3006NV

General Provider Information

NPI Number : 1841163359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA SHINEE CAMERON
Provider Business Mailing Address
First Line : 3550 PARADISE RD UNIT 259
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3642
Country : US
Telephone Number : 406-600-5555
Fax Number :
Provider Business Practice Location Address
First Line : 8685 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2839
Country : US
Telephone Number : 702-754-0807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 06/22/2026

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Directions to “ MIRANDA SHINEE CAMERON ” Practice Location

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