NPI 1154148773
Madison Anne Miranda
Practice location
- Address
- 2940 W Cobalt Dr Unit B113, Meridian, ID 83642-5813
- Phone
- (208) 841-3389
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1154148773
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Sep 2024
- Record last updated
- 24 Feb 2025
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.