Maria Socorro Miranda Gandara in Olympia - Nurse Practitioner
Maria Socorro Miranda Gandara - NPI 1366625717
Maria Socorro Miranda Gandara is a Nurse Practitioner in Olympia, Washington. Maria Socorro Miranda Gandara practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Maria Socorro Miranda Gandara is 1366625717. The last update date is 2023-10-10.
Maria Socorro Miranda Gandara's current location address is Capital Eastside Family Practice, Olympia, Washington. You can contact this provider via phone number 3609435127 and fax number 3607542516. The mailing address for Maria Socorro Miranda Gandara is Capital Eastside Family Practice, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Socorro Miranda Gandara |
|---|---|
| Address | Capital Eastside Family Practice, Olympia, Washington |
| Phone Number | 3609435127 |
| Fax Number | 3607542516 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1366625717 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
| Address | Capital Eastside Family Practice |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 98501 |
| Phone Number | 3609435127 |
| Fax Number | 3607542516 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP60909533 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2112470 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maria Socorro Miranda Gandara by the Centers for Medicare & Medicaid Services?
The Maria Socorro Miranda Gandara has been assigned the NPI (National Provider Identifier) 1366625717. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Maria Socorro Miranda Gandara's facilities are geographically located?
The facilities of Maria Socorro Miranda Gandara are physically situated at the following location: Capital Eastside Family Practice, Olympia, WA, 98501.
What is Maria Socorro Miranda Gandara's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maria Socorro Miranda Gandara is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Maria Socorro Miranda Gandara receive the assignment of its 1366625717 from the Centers for Medicare & Medicaid Services?
The Maria Socorro Miranda Gandara was issued its 1366625717 by the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the information regarding Maria Socorro Miranda Gandara most recently updated?
The details pertaining to the Maria Socorro Miranda Gandara, including its address, specialty, and other relevant information, were last refreshed on 2023-10-10.
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