MS. MIRANDA MACKO, AGNP-C
Nurse Practitioner
Active
Individual
NPI: 1710730981
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 4704367492 (MI) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | 4704367492 (MI) |
| Nurse Practitioner - Primary Care | 363LP2300X | No | 4704367492 (MI) |
| Nurse Practitioner | 363L00000X | Yes | 4704367492 (MI) |
Frequently Asked Questions
NPI 1710730981 is the National Provider Identifier for MS. MIRANDA MACKO, AGNP-C, a Nurse Practitioner provider located in Dearborn, MI. This NPI was enumerated on April 8, 2024.
MS. MIRANDA MACKO, AGNP-C practices at 904 MASON ST, Dearborn, MI 48124.
Quick Facts
- NPI
- 1710730981
- Type
- Individual
- Enumerated
- Apr 8, 2024
- Last Updated
- Dec 15, 2024
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