Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA NICOLE BACON, DO
Active Sole ProprietorMIRANDA NICOLE BACON, DO is a Pediatrics healthcare provider located in FALLS CHURCH, Virginia. NPI 1366066169 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · FALLS CHURCH, VA
Registration Details
- NPI Number
- 1366066169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2020 (6.1421163710775 yrs)
- Last Updated
- Jun 8, 2020
- License
-
0116033753 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 GALLOWS RDFALLS CHURCH, VA, 220423307Browse VA providers · Browse ZIP 22042
- Phone
- 7037766652
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FALLS CHURCH, VA
| Name | Credential | NPI |
|---|---|---|
| HANITA THERESE OH-TAN | M.D. | 1346234986 |
| MR. CARL A SALSBURY | MD | 1649250135 |
| PHYLLIS G WAXMAN | M.D. | 1720068216 |
| MRS. DEBORAH G CLAPP | MD | 1841270493 |
| DR. AMY L PIERCE | M.D. | 1225018716 |
| MRS. ARCHANA B JASANI | MD | 1801876453 |
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.