National Provider Identifier

Miranda Feliciano, LPN

Miranda Feliciano, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Pavilion, NY and a listed phone number of (716) 331-1993.

NPI 1154147684Pavilion, NYLicensed Practical Nurse

Profile Overview

NPI
1154147684
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 30, 2024
Last Updated
November 30, 2024

Practice Location

  • 9540 Warsaw RD
  • Pavilion, NY 14525-9741

Phone: (716) 331-1993

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154147684
Entity Type
Individual
Last Name
Feliciano
First Name
Miranda
Credential
LPN
Provider Other Last Name
Wisniewski
Provider Other First Name
Miranda
Provider Other Last Name Type Code
1
Mailing Street Address
9540 Warsaw RD
Mailing City
Pavilion
Mailing State
NY
Mailing ZIP Code
14525-9741
Mailing Country
US
Mailing Phone
(716) 331-1993
Practice Street Address
9540 Warsaw RD
Practice City
Pavilion
Practice State
NY
Practice ZIP Code
14525-9741
Practice Country
US
Practice Phone
(716) 331-1993
Enumeration Date
November 30, 2024
Last Updated
November 30, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
November 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)