Loewen, Analisa Miranda

Loewen, Analisa Miranda is an individual health care provider with primary practice located at 100 S Boylan Ave , Raleigh NC 27603-1802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Loewen, Analisa Miranda can be contacted via phone (919) 833-7526.

Contact Information

Primary practice address
100 S Boylan Ave Raleigh NC 27603-1802
Phone: (919) 833-7526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5013936 North Carolina

Profile Details

NPI number 1407858616
LBN Legal business name Loewen, Analisa Miranda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 20th, 2024 - about 2 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 1407858616 NPPES
Indiana Other 000000485492 ANTHEM PIN - MARY ST
Indiana Other 000000485495 ANTHEM PIN - MARY ST
Indiana MEDICAID 200489350 ANTHEM PIN - MARY ST
Indiana Other 000000343152 ANTHEM PIN - MARY ST

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