NPI 1679951545

Steven Miranda, LPN

Practitioner Licensed Practical Nurse Idaho Falls, ID

Practice location

Address: 1471 Mountain View Ln APT 4, Idaho Falls, ID 83402-1861
Phone: (707) 391-0538

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN-45963 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1679951545
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2015
Record last updated: 12 May 2015

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.