NPI 1003063884

Miranda R Vincent, APRN

Practitioner Pediatric Nurse Practitioner Trumbull, CT

Practice location

Address: 15 Corporate Dr, Trumbull, CT 06611-1351
Phone: (203) 452-8322
Mailing address: 459 Romanock Road, Fairfield, CT 06825

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 002406 (CT)

Other Nurse Practitioner providers in Connecticut →

Registry record

NPI: 1003063884
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 25 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.