Most Relevant Information
Provider Data
| NPI Number: | 1003285057 |
| Provider Name: | MEGAN MIRANDA APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP08525 |
Most Important Dates
| Enumeration Date: | 09/21/2015 |
| Last Updated: | 02/24/2016 |
Provider Practice Location
735 W 5TH ST
LA PLACE
LA
700685505
Practice Location Phone/Fax
| Phone: | 9856529504 |
| Fax: |
Provider Mailing Location
75 SHEARWATER DR
LA PLACE
LA
700686451
Provider Mailing Phone/Fax
| Phone: | 5042017583 |
| Fax: |