Miranda Suchey, CRNP
Individual provider Active NPI Family Nurse Practitioner · Dora, AL
NPI 1093552846 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1093552846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-169049 (AL)
- Practice address
- 2165 Highway 78 Ste 100
Dora, AL 35062-4539 - Phone
- (205) 648-4567
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-169049 | AL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-169049 | AL | Yes |
Addresses
Primary practice location
2165 Highway 78 Ste 100
Dora, AL 35062-4539
Mailing address
2165 Highway 78 Ste 100
Dora, AL 35062-4539
Other providers in Dora, AL
- Angela Jannette Moore
- John Coney Pegues
- Premier Health Center LLC
- Prestige Compounding
- Angela Bevin Romine
All providers in Dora, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.