Doctor Name: | JOYCE TEOCSON MIRANDA |
NPI Number: | 1184021610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, NP-C |
License Number: | APRN-1127 |
Business Practice Address: | 91-2135 Fort Weaver Rd Suite 170 Ewa Beach, HI - 967061940 |
Business Phone Number: | 8086765331 |
Business Fax Number: | 8086712931 |
Mailing Address: | 91-2135 Fort Weaver Rd, Suite 170 EWA BEACH |
State: | HI |
Postal Code: | 967061940 |
Phone Number: | 8086765331 |
Fax Number: | 8086712931 |
NPI Enumeration Date: | 11/26/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN-1127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |