MIRANDA J MATTHEWS MS
NPI 1447019559
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 19, 2024
510 REDDICK ST, MISHAWAKA, IN 46544(517) 575-8745 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miranda J Matthews Ms NPPES

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

MIRANDA J MATTHEWS MS (NPI 1447019559) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1447019559
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRANDA J MATTHEWSCredential: MS
Location Address510 REDDICK STMishawaka, IN 46544-1669
Mailing Address510 Reddick StMishawaka, IN 46544-1669 · (517) 575-8745
Sole ProprietorYes
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1447019559 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
510 REDDICK ST, Mishawaka, IN 46544

Other Names 1

Former Name (1)Miranda J Perkins

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447019559, enumerated as an "individual" on March 19, 2024.

The provider is located at 510 REDDICK ST MISHAWAKA, IN 46544 and the phone number is (517) 575-8745.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.