Female

Miranda K. Caccamise APRN, FNP-BC

Full Name

Miranda K Caccamise APRN, FNP-BC

NPI Number

1831539436

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/27/2013

Specialties

(Taxonomies)

Code

363LF0000X
363L00000X

Primary Taxonomy

No
No

Licenses

State

Arizona
Colorado
New York
North Carolina
Ohio
Oregon
Pennsylvania
South Carolina
Texas

License Number

278276
APN.1000303-NP
F337958-1
5017608
0037900
10007149
SP028640
29582
1076815

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 211699
880 SW 145TH AVE STE 202

City

Eagan
Pembroke Pines

State

MN
FL

Postal Code

55121-3699
33027-6171

Country

US
US

Telephone Number

(866) 849-0692
(866) 849-0692

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

dmglicenseupdates@devoted.com

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

880 SW 145th Ave Ste 202Pembroke Pines, FL330276171US

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

Data last updated by provider on 11/05/2024

Provider Address