Miranda Paige Wallace

NPI #1164134094 in Hurricane, Utah

Provider Information

NPI Number: 1164134094
Entity Type: Individual
Name: Miranda Paige Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 22, 2022
Last Updated: Dec 22, 2022

Practice Location

Address: 4 S 2600 W STE 6
City: Hurricane
State: Utah
ZIP Code: 84737-3247
Phone: (435) 229-8405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Provider Name	Specialty	City
Abbie Hermansen	Student in an Organized Health Care Education/Training Program	Hurricane	AI Deep Dive
Brian Lee Grimwood, DO	Student in an Organized Health Care Education/Training Program	St George	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Brigham Young University	Student in an Organized Health Care Education/Training Program	Provo	AI Deep Dive

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