MIRANDA PAIGE WALLACE
NPI 1164134094
Student in an Organized Health Care Education/Training Program in Hurricane, UT

Active since December 22, 2022
4 S 2600 W STE 6, HURRICANE, UT 84737(435) 229-8405 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Miranda Paige Wallace NPPES

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

MIRANDA PAIGE WALLACE (NPI 1164134094) is an individual student in an organized health care education/training program in Hurricane, Utah and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1164134094
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRANDA PAIGE WALLACE
Location Address4 S 2600 W STE 6Hurricane, UT 84737-3247
Mailing Address101 S Main StHurricane, UT 84737-2631 · (318) 355-3099
Sole ProprietorNo
Enumeration DateDecember 22, 2022
NPPES CertifiedDecember 20, 2022
NPI 1164134094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
4 S 2600 W STE 6, Hurricane, UT 84737

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
4 S 2600 W STE 6
HURRICANE, UT 84737
Marriage & Family Therapist
4 S 2600 W STE 6
HURRICANE, UT 84737
Counselor (Mental Health)
4 S 2600 W STE 6
HURRICANE, UT 84737
Counselor (Mental Health)
4 S 2600 W STE 6
HURRICANE, UT 84737
Counselor (Mental Health)
4 S 2600 W STE 6
HURRICANE, UT 84737
Counselor (Mental Health)
4 S 2600 W STE 6
HURRICANE, UT 84737
Counselor
4 S 2600 W STE 6
HURRICANE, UT 84737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Wallace's NPI number?

The NPI number for Miranda Wallace is 1164134094. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Where is Miranda Wallace located?

Miranda Wallace practices at 4 S 2600 W Ste 6, Hurricane, UT 84737. The listed phone number is (435) 229-8405.

What is Miranda Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Miranda Wallace was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.