MIRANDA WINIFRED FIFE


Address: 217 Nashville Ave Apt 3, Huntington Beach, CA 92648-3556
Phone: 7146063221

MIRANDA WINIFRED FIFE (NPI# 1164073755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164073755
Entity Type Individual
Full Name MIRANDA WINIFRED FIFE
Credential MSN, AGPCNP-BC, RN
Practice Address 217 Nashville Ave Apt 3
Huntington Beach
CA 92648-3556
Practice Telephone 7146063221
Mailing Telephone 8183182530
Enumeration Date 2019-09-25
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95012259 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 217 NASHVILLE AVE APT 3
City HUNTINGTON BEACH
State CA
Zip Code 92648-3556

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942776240 Lynda T Tran Nurse Practitioner 19582 Beach Blvd Ste 212, Huntington Beach, CA 92648-5923 2018-10-15
1700231370 Katie Pham Nurse Practitioner 17762 Beach Blvd Ste 220, Huntington Beach, CA 92647-6860 2016-05-02

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Competitor

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City HUNTINGTON BEACH
Zip Code 92648

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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