Vandergriff, Miranda

Vandergriff, Miranda is an individual health care provider with primary practice located at 8530 Hixson Pike , Hixson TN 37343-1693. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vandergriff, Miranda can be contacted via phone (423) 842-2197.

Contact Information

Primary practice address
8530 Hixson Pike Hixson TN 37343-1693
Phone: (423) 842-2197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20416 Tennessee

Profile Details

NPI number 1851769921
LBN Legal business name Vandergriff, Miranda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2015
Last updated Mar 25th, 2018 - about 8 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 1851769921 NPPES
Tennessee Other 20416 LICENSE

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