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NPI Code Detail

MEDICARE: MIRANDA COBENAIS

MEDICARE:   MIRANDA  COBENAIS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner14224MN

General Provider Information

NPI Number : 1902730245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA COBENAIS
Provider Business Mailing Address
First Line : 318 1ST AVE SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-3310
Country : US
Telephone Number : 507-405-0533
Fax Number :
Provider Business Practice Location Address
First Line : 318 1ST AVE SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-3310
Country : US
Telephone Number : 507-405-0533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ MIRANDA COBENAIS ” Practice Location

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