Most Relevant Information
Provider Data
| NPI Number: | 1003063884 |
| Provider Name: | MIRANDA R VINCENT A.P.R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 002406 |
Most Important Dates
| Enumeration Date: | 08/22/2008 |
| Last Updated: | 07/25/2014 |
Provider Practice Location
15 CORPORATE DR
TRUMBULL
CT
066111351
Practice Location Phone/Fax
| Phone: | 2034528322 |
| Fax: |
Provider Mailing Location
459 ROMANOCK ROAD
FAIRFIELD
CT
06825
Provider Mailing Phone/Fax
| Phone: | 2032923631 |
| Fax: |