| Miranova Health PLLC | |
|
715 9th Ave Seattle WA 98104-2066 | |
| (206) 902-4582 | |
| (206) 902-4159 |
| Full Name | Miranova Health PLLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 715 9th Ave, Seattle, Washington |
| Authorized Official Name and Position | Emily Nancy Hanson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9522404258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranova Health PLLC Po Box 21249 Seattle WA 98111-3249 Ph: (206) 902-4582 | Miranova Health PLLC 715 9th Ave Seattle WA 98104-2066 Ph: (206) 902-4582 |
| NPI Number | 1932730447 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932730447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Primary |
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