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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA THOMPSON, AGACNP-BC

Active Sole Proprietor

MIRANDA THOMPSON, AGACNP-BC is a Gerontological Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1740672427 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · PHILADELPHIA, PA

Registration Details

NPI Number
1740672427
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2015 (11.408569261641 yrs)
Last Updated
Aug 11, 2022
License
SP024761 (PA)
Sole Proprietor
Yes

Practice Information

Address
3400 SPRUCE ST.
4 SILVERSTEIN
PHILADELPHIA, PA, 191042406
Browse PA providers · Browse ZIP 19104
Phone
2156155858
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in PHILADELPHIA, PA

Name Credential NPI
GERALD FRANCIS DRISCOLL JR. CRNP 1366431207
MS. CHRISTINE K (WANICH) BRADWAY PHD, RN 1639130388
MS. ELISE ROBINSON PIZZI CRNP 1558317420
VIRGINIA FONASH SAMHOURI CRNP 1932131950
MS. REGINA C MASON CRNP 1619992922
MRS. CHRISTINE NIERODA CLANCY CRNP 1487677084
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.