Miranda Nicole Blaine
Miranda Nicole Blaine is a Student in an Organized Health Care Education/Training Program in Byron Center, Michigan. Licensed in Michigan. Registered with an NPI since 2022.
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
8364 Byron Center Ave SWByron Center, MI 49315-7805
Phone: (616) 878-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 5302414594 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1972264786 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 4, 2022 |
| Last updated in NPPES | December 23, 2022 |
| Certification date | December 23, 2022 |
Other providers in Byron Center
-
Alia Rose Burgess
6770 Southpointe Ct SW, Byron Center, MI 49315-8218 · (616) 217-1007
-
Jeffrey Cross, MD
2373 64th St SW Ste 2700, Byron Center, MI 49315-7978 · (616) 465-5910