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

Mary Anne Miranda, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1942492897

Mary Anne Miranda, NP-C is an Adult Health Nurse Practitioner in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

931 Hallock Ave
Port Jefferson Station, NY 11776-1228
Phone: (631) 331-7200
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F304650 (NY)

Record details

NPI number1942492897
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedAugust 14, 2007
Last updated in NPPESJanuary 13, 2014

Other providers in Port Jefferson Station