Israel, Miracle

Israel, Miracle is an individual health care provider with primary practice located at 19116 33Rd Ave W , Lynnwood WA 98036-4706. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Israel, Miracle can be contacted via phone (425) 712-7900.

Contact Information

Primary practice address
19116 33Rd Ave W Lynnwood WA 98036-4706
Phone: (425) 712-7900
Fax: (425) 712-7905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60490415 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61081985 Washington

Profile Details

NPI number 1326672676
LBN Legal business name Israel, Miracle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Mar 30th, 2021 - about 5 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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