BETTY J MIRRO M.D.
NPI 1497754790
Specialist in Germantown, TN

Active since July 19, 2005
3085 FOUNTAINSIDE DR, SUITE 202, GERMANTOWN, TN 38138(901) 755-0550(901) 755-0474 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Betty J Mirro M.d. NPPES

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

BETTY J MIRRO M.D. (NPI 1497754790) is an individual specialist in Germantown, Tennessee, licensed in Tennessee (17702) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1497754790
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBETTY J MIRROCredential: M.D.
Location Address3085 FOUNTAINSIDE DR, SUITE 202Germantown, TN 38138-7842
Mailing Address3085 Fountainside Dr, Suite 202Germantown, TN 38138-7842 · (901) 755-0550 · Fax (901) 755-0474
Fax(901) 755-0474
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 8, 2017
NPI 1497754790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 17702
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3085 FOUNTAINSIDE DR, Germantown, TN 38138

Other Names 1

Former Name (1)Betty J Van Hooser M.d.

Other Identifiers 4

Medicare UPINF33859TN
Other621756596TN · Tax Id#
Medicare ID-Type Unspecified3814159TN
Medicaid3370933TN

Other Providers at the Same Location NPPES 2

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

In Home Supportive Care
3085 FOUNTAINSIDE DR, SUITE 101
GERMANTOWN, TN 38138
Allergy & Immunology
3085 FOUNTAINSIDE DR, SUITE 202
GERMANTOWN, TN 38138

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 Betty Mirro's NPI number?

The NPI number for Betty Mirro is 1497754790. It was assigned to this individual provider in the NPPES registry on July 19, 2005. The provider is also known as Betty J Van Hooser M.D..

Where is Betty Mirro located?

Betty Mirro practices at 3085 Fountainside Dr Suite 202, Germantown, TN 38138. The listed phone number is (901) 755-0550.

What is Betty Mirro's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Betty Mirro was last updated on March 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.