Seirra Nicole Miner I
Individual provider Active NPI Case Manager/Care Coordinator · Luxora, AR
NPI 1225441983 · NPPES record last updated Jun 10, 2014
Key facts
- NPI
- 1225441983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 932555772 (AR)
- Practice address
- 641 West St.
Luxora, AR 72358 - Phone
- (870) 815-0630
- NPI assigned
- Jun 10, 2014
- 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 |
|---|---|---|---|
| 932555772 | AR | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 932555772 | AR | Yes |
Addresses
Primary practice location
641 West St.
Luxora, AR 72358
Mailing address
641 West St.
Luxora, AR 72358
Phone (870) 815-0630
Other names
- Miss Seirra Nicole Miner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2014. 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.