Cristales, Miranda F.

Cristales, Miranda F. is an individual health care provider with primary practice located at 4660 S Hagadorn Rd #600, East Lansing MI 48823-5376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cristales, Miranda F. can be contacted via phone (517) 267-2460.

Contact Information

Primary practice address
4660 S Hagadorn Rd #600 East Lansing MI 48823-5376
Phone: (517) 267-2460
Fax: (517) 884-8602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601005230 Michigan

Profile Details

NPI number 1508023151
LBN Legal business name Cristales, Miranda F.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Jun 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508023151 NPPES
Michigan MEDICAID 1508023151
Michigan Other 5601005230

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