Rutland, Miranda Brown

Rutland, Miranda Brown is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rutland, Miranda Brown can be contacted via phone (859) 230-2700.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hammond LA 70403-1434
Phone: (859) 230-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 227314 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 227314 Louisiana

Profile Details

NPI number 1417667916
LBN Legal business name Rutland, Miranda Brown
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2022
Last updated May 8th, 2023 - about 3 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 1417667916 NPPES
Louisiana Other 1417667916 NPI

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