Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Miranda, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1972136604

Mark Miranda, CRNA is a Certified Registered Nurse Anesthetist in Fort Gordon, Georgia. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

300 E Hospital Rd
Fort Gordon, GA 30905
Phone: (706) 787-5811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 — (210) 916-4499

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1074050 (TX)

Record details

NPI number1972136604
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESJuly 21, 2025
Certification dateJuly 9, 2025
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

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