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)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