Miranda Louise Faris, NURSE PRACTITIONER

NPI #1659903144 in Demotte, Indiana

Provider Information

NPI Number
1659903144
Entity Type
Individual
Name
Miranda Louise Faris, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Feb 12, 2020
Last Updated
Feb 12, 2020

Practice Location

Address
11188 N 550 E
State
Indiana
ZIP Code
46310-8947
Phone
(219) 964-5312

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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