Miranda L Bennett is a Family in Tupelo, Mississippi. Miranda L Bennett practices all healthcare services and medical treatments related to Family. The NPI Number for Miranda L Bennett is 1184678716. The last update date is 2021-03-09.
Miranda L Bennett's current location address is 1211 S Gloster St Ste A, Tupelo, Mississippi. You can contact this provider via phone number 6627674200 and fax number 6627674204. The mailing address for Miranda L Bennett is 1211 S Gloster St Ste A, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miranda L Bennett |
|---|---|
| Address | 1211 S Gloster St Ste A, Tupelo, Mississippi |
| Phone Number | 6627674200 |
| Fax Number | 6627674204 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1184678716 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2021-03-09 |
Provider Mailing Address Detail
| Address | 1211 S Gloster St Ste A |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388016548 |
| Phone Number | 6627674200 |
| Fax Number | 6627674204 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | A810433 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Miranda L Bennett by the Centers for Medicare & Medicaid Services?
The Miranda L Bennett has been issued the NPI (National Provider Identifier) 1184678716. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Miranda L Bennett is located?
The Miranda L Bennett is situated at the following address: 1211 S Gloster St Ste A, Tupelo, MS, 388016548.
What is Miranda L Bennett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Miranda L Bennett's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did Miranda L Bennett receive its 1184678716 assignment from the Centers for Medicare & Medicaid Services?
The Miranda L Bennett was assigned its 1184678716 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Miranda L Bennett's information last updated?
The Miranda L Bennett's information was last updated on 2021-03-09.
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