MIRICLE ANDERSON


Address: 92 Main St, Cassville, MO 65625-1610
Phone: 4178475225

MIRICLE ANDERSON (NPI# 1770040222) 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) 1770040222
Entity Type Individual
Full Name MIRICLE ANDERSON
Credential NP
Practice Address 92 Main St
Cassville
MO 65625-1610
Practice Telephone 4178475225
Mailing Telephone 4178475225
Enumeration Date 2019-02-20
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2019005210 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 92 MAIN ST
City CASSVILLE
State MO
Zip Code 65625-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073047957 Mitchel Norton Family Medicine 92 Main St, Cassville, MO 65625-1610 2017-04-17
1558779710 Joshua D. Merriman Nurse Practitioner 92 Main St, Cassville, MO 65625-1610 2014-07-31
1235546490 Amanda Gibbons Nurse Practitioner 92 Main St, Cassville, MO 65625-1610 2014-07-18
1528307493 Rita Logan Seger Internal Medicine 92 Main St, Cassville, MO 65625 2013-02-12
1497887848 Mercy Clinic Springfield Communities Family Medicine 92 Main St, Cassville, MO 65625 2007-03-12
1255412417 Connie Lynn Butler Family Medicine 92 Main St, Cassville, MO 65625-1610 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568877231 Angela Conklin Family Medicine 75 Smithson Dr Ste A, Cassville, MO 65625 2014-06-21
1548394166 Peach Wood Manor Rcf Custodial Care Facility Highway 12, Cassville, MO 65625 2007-03-15
1861534299 John Carl Ruetschi Dentist Rt #1 Box 1714, Southwest Family Dentistry, Cassville, MO 65625 2007-02-13
1447353602 Stephen Joseph Mebruer Optometrist 10340 Farm Rd. 2176, Cassville, MO 65625 2006-09-06
1205886769 Ozark Tri County Health Care Consortium Clinic/Center 4016 N Main Street, Cassville, MO 65625 2006-05-12
1205806635 Steven Kent Runnels Chiropractor 101-2 S. Main St., Cassville, MO 65625 2006-01-26
1437639036 Regional Services Nurse Practitioner 1501 Main St, Cassville, MO 65625 2018-08-14
1710472444 Kasey King Nurse Practitioner 94 Main St, Cassville, MO 65625 2018-06-26
1144554171 Stephen J. Mebruer, O.d., L.L.C. Optometrist 10340 Farm Rd. 2176, Cassville, MO 65625 2009-09-23
1154535342 Mercy Hospital Cassville General Acute Care Hospital 94 Main St, Cassville, MO 65625 2007-05-09
Find all providers in zip 65625

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881784635 Julitta J. Shirley Nurse Practitioner 75 Smithson Dr., Ste. A, Cassville, MO 65625-9429 2006-10-13
1720015423 Cheryl J. Dalton Nurse Practitioner 4016 Main St, Cassville, MO 65625-9753 2006-06-27
1285235937 Laura Kay Barnett Nurse Practitioner 94 Main St, Cassville, MO 65625-1610 2020-11-07
1689201147 Kortney Burton Nurse Practitioner 1101 N Main St, Cassville, MO 65625-1118 2020-03-25
1437639036 Regional Services Nurse Practitioner 1501 Main St, Cassville, MO 65625 2018-08-14
1710472444 Kasey King Nurse Practitioner 94 Main St, Cassville, MO 65625 2018-06-26
1558779710 Joshua D. Merriman Nurse Practitioner 92 Main St, Cassville, MO 65625-1610 2014-07-31
1235546490 Amanda Gibbons Nurse Practitioner 92 Main St, Cassville, MO 65625-1610 2014-07-18
1952609224 Cynthia A. Baker Nurse Practitioner 1 Medical Plz, Cassville, MO 65625-1602 2011-03-10
1356417810 Pamela J Whitlock Nurse Practitioner 4016 Main St, Cassville, MO 65625-9753 2006-11-27
Find all providers in CASSVILLE

Competitor

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City CASSVILLE
Zip Code 65625

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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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