Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MIRANDA DAWN ANTONIO, A.A.
Active Sole ProprietorMRS. MIRANDA DAWN ANTONIO, A.A. is a Counselor healthcare provider located in TULAROSA, New Mexico. NPI 1104008432 is currently active in the NPPES registry. Verify at CMS.
Counselor · TULAROSA, NM
Registration Details
- NPI Number
- 1104008432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2007 (18.671393844274 yrs)
- Last Updated
- Nov 28, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
253 PECOS RDTULAROSA, NM, 883529666Browse NM providers · Browse ZIP 88352
- Phone
- 5053794838
- Primary Specialty
-
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.