MRS. VICKI LYNN MIRACLE R.N.
NPI 1376701888
Registered Nurse - Community Health in Beavercreek, OR
Active since May 30, 2008
About Mrs. Vicki Lynn Miracle R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VICKI LYNN MIRACLE R.N. (NPI 1376701888) is an individual community health provider in Beavercreek, Oregon, licensed in Oregon (090000670RN) and active in the NPI registry since May 2008.
NPPES Registry Identity
NPI1376701888
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMRS. VICKI LYNN MIRACLECredential: R.N.
Location Address19824 S BUTTE RDBeavercreek, OR 97004-8847
Mailing Address19824 S Butte RdBeavercreek, OR 97004-8847 · (503) 632-7077 · Fax (503) 336-1850
Phone(503) 632-7077
Fax(503) 336-1850
Sole ProprietorYes
Enumeration DateMay 30, 2008
Last NPPES UpdateJune 2, 2008
✔ NPI 1376701888 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in OR · 090000670RN
19824 S BUTTE RD, Beavercreek, OR 97004
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
19824 S BUTTE RD
BEAVERCREEK, OR 97004
BEAVERCREEK, OR 97004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376701888, enumerated as an "individual" on May 30, 2008.
The provider is located at 19824 S BUTTE RD BEAVERCREEK, OR 97004 and the phone number is (503) 632-7077.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.
