Macko, Miranda M

Macko, Miranda M is an individual health care provider with primary practice located at 904 Mason St , Dearborn MI 48124-2215. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Macko, Miranda M can be contacted via phone (313) 586-7525.

Contact Information

Primary practice address
904 Mason St Dearborn MI 48124-2215
Phone: (313) 586-7525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704367492 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704367492 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704367492 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704367492 Michigan

Profile Details

NPI number 1710730981
LBN Legal business name Macko, Miranda M
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2024
Last updated Dec 15th, 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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