Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Miranda L Van de Loo, DNP, FNP-BC, PMHNP

Individual provider Family Nurse Practitioner · NPI 1518575968

Dr. Miranda L Van de Loo, DNP, FNP-BC, PMHNP is a Nurse Practitioner in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington and Wisconsin.

Years since qualifying
6
Licensed in
WA, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

100 N Howard St Ste R
Spokane, WA 99201-0508
Phone: (360) 836-4314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2022000625 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 233947 (WI)

Record details

NPI number1518575968
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC , PMHNP
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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