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NPI Code Detail

MEDICARE: MIRANDA MCLINDEN RN

MEDICARE: MIRANDA MCLINDEN RN
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
1163WS0200XSchool Registered NurseRN305712OH

General Provider Information

NPI Number : 1962953273
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA MCLINDEN RN
Provider Business Mailing Address
First Line : 8101 HAMILTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2323
Country : US
Telephone Number : 513-728-7637
Fax Number :
Provider Business Practice Location Address
First Line : 8101 HAMILTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2323
Country : US
Telephone Number : 513-728-7637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2016
Last Update Date : 10/21/2016

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