Wing, Miranda Renee

Wing, Miranda Renee is an sole proprietor health care provider with primary practice located at 1 Catamore Blvd , E Providence RI 02914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wing, Miranda Renee can be contacted via phone (401) 438-0008.

Contact Information

Primary practice address
1 Catamore Blvd E Providence RI 02914
Phone: (401) 438-0008
Fax: (401) 438-2272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN01755 Rhode Island

Profile Details

NPI number 1376898569
LBN Legal business name Wing, Miranda Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2012
Last updated Mar 24th, 2022 - about 4 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 1376898569 NPPES
Louisiana MEDICAID 2316320

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