MIRACLE HEALTHCARE LLC – Family Nurse Practitioner, NPI 1780908228
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRACLE HEALTHCARE LLC
649B W MCNEAL ST
BOLIVAR, TN 380082519
Phone: (731) 658-2885
Fax: (731) 658-2886
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38008)
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