Miranda R Vincent
Nurse Practitioner - Pediatrics
15 Corporate Dr
Trumbull
, Connecticut 06611-1351
Miranda R Vincent
Nurse Practitioner - Pediatrics
15 Corporate Dr
Trumbull
, Connecticut 06611-1351
(203) 292-3631
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Miranda R Vincent
- 459 Romanock Road
- Fairfield, CT
- Zip : 06825
- Phone : (203) 292-3631
Second Address
- Miranda R Vincent
- 15 Corporate Dr
- Trumbull, CT
- Zip : 06611-1351
- Phone : (203) 452-8322
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 002406 | CT |
National Provider Identifier
| NPI | 1003063884 |
|---|---|
| Provider Name | Miranda R Vincent |
| First Address | Fairfield, CT 06825 |
| Second Address | Trumbull, CT 06611-1351 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2008 |
| Last Update Date | 25/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.