Santana Patricia Miranda, RN L#0001310361
Individual provider Active NPI Registered Nurse · Triangle, VA
NPI 1881442002 · NPPES record last updated Jun 8, 2024
Key facts
- NPI
- 1881442002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001310361 (VA)
- Practice address
- 18318 Woodland Dr
Triangle, VA 22172-1312 - Phone
- (571) 250-9354
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0001310361 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001310361 | VA | Yes |
Addresses
Primary practice location
18318 Woodland Dr
Triangle, VA 22172-1312
Mailing address
8312 Shady Grove Cir
Manassas, VA 20110-4680
Phone (571) 250-9354
Other providers in Triangle, VA
- Keystone Residential Living LLC
- Kingdom Health Care Services, LLC
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- Milicent Ann Mack
- Mentevo LLC
- MSRC One, LLC
- MSRC One, LLC
- MSRC One, LLC
- Alyse Nanetta Munoz
- Maria Rosario Bustamante Nanoz
All providers in Triangle, VA · Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 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.