MS. ANGELYN MARIE MIRACLE CPNP - NPI 1144539842 - Nurse Practitioner in Temecula, CA

Q: What is Angelyn Miracle's NPI number?

The NPI number for Angelyn Miracle is 1144539842. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Q: What is Angelyn Miracle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Angelyn Miracle was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Angelyn Marie Miracle Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELYN MARIE MIRACLE CPNP (NPI 1144539842) is an individual pediatrics provider in Temecula, California, licensed in California (14956) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1144539842

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. ANGELYN MARIE MIRACLECredential: CPNP

Location Address31170 TEMECULA PKWY STE 200Temecula, CA 92592-2915

Mailing Address2210 Mesa Dr Ste 300Oceanside, CA 92054-3701 · (760) 736-6767

Phone(951) 699-3299

Sole ProprietorNo

Enumeration DateSeptember 29, 2010

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1144539842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 14956

31170 TEMECULA PKWY STE 200, Temecula, CA 92592

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANIE LYNNE GOLDMAN LCSW

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