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

Individual provider Family Nurse Practitioner · NPI 1659903144

Miranda Louise Faris, NURSEPRACTITIONER is a Nurse Practitioner in Demotte, Indiana. Qualified in 2019, 7 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

11188 N 550 E
Demotte, IN 46310-8947
Phone: (219) 964-5312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07191270 (IN)

Record details

NPI number1659903144
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Demotte