DR. RAYDEL MIRANDA ARNP-BC NPI 1770856890

NPI Information

  • NPI: 1770856890
  • Provider Name: DR. RAYDEL MIRANDA, ARNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2240 W MONTE VISTA AVE
    TURLOCK, CA
    ZIP 95382
  • Phone: (209) 722-4842

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NPI Details

DR. Raydel Miranda, ARNP-BC is a family nurse practitioner in Turlock, CA with 6 years of experience. DR. Raydel Miranda, ARNP-BC NPI is 1770856890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2240 W MONTE VISTA AVE
TURLOCK, CA
ZIP 95382-667
Phone: (209) 722-4842
Fax: (209) 667-1269

The NPI 1770856890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2012 and was last updated on 4/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN11006526FLORIDANo
2363LF0000XNurse PractitionerFamilyNP95022834CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1APRN11006526OTHERFLORIDABOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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