Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA BASTO, PAC
ActiveMIRANDA BASTO, PAC is a Physician Assistant healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1538965256 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1538965256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2025 (1.4414821052125 yrs)
- Last Updated
- Jul 25, 2025
- License
-
13251 (GA)
Practice Information
- Address
-
1900 RIVERSIDE PKWYLAWRENCEVILLE, GA, 300435925Browse GA providers · Browse ZIP 30043
- Phone
- 7702373475
- Fax
- 7702373756
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| RUTHANN PHILLIPS | PA-C | 1649277591 |
| DIANA K DEAN | P.A. | 1598765950 |
| MR. BOBBY GENE STOUT JR. | PA-C | 1235128612 |
| JOSEPH P LIEBSACK | P.A.-C | 1528048196 |
| PATRICIA A HAGERMAN | PA | 1346216249 |
| ALLISON NICOLE ANDERSON | P.A-C | 1639124233 |
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.