Female

Miranda E. Rose M.D.

Family Medicine Physician in Dublin, OH(View on Map)

Full Name

Miranda Elizabeth Rose M.D.

NPI Number

1215357991

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/22/2014

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Ohio
West Virginia

License Number

35129488
30017

Contact
Information

Purpose

Mailing
Location

Address

545 METRO PL S STE 100
545 METRO PL S STE 100

City

Dublin
Dublin

State

OH
OH

Postal Code

43017-5353
43017-5353

Country

US
US

Telephone Number

(415) 671-2165
(415) 671-2165

Identifiers

Identifier

H609640

Identifier State

Unknown

Identifier Issuer

MEDICARE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

miranda.rose@marshall.cernerdirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1600 Medical Center Dr Ste 1500Huntington, WV257013657US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/11/2024

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