Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 28141 | TN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APRN11002616 | FL |
NPI | 1336708163 |
---|---|
Provider Name | Ms. Miranda Brooke Cino |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-8211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2019 |
Last Update Date | 22/12/2020 |