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MIRANDA SAM
NPI 1639957624
Specialist in Sartell, MN

Active since September 20, 2023
1801 AMBER AVE S, SARTELL, MN 56377(218) 287-4338 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miranda Sam NPPES

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

MIRANDA SAM (NPI 1639957624) is an individual specialist in Sartell, Minnesota and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1639957624
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMIRANDA SAM
Location Address1801 AMBER AVE SSartell, MN 56377-7507
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1639957624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1801 AMBER AVE S, Sartell, MN 56377
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Other Providers at the Same Location NPPES 20

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

ADEN VOLLEN
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
RUQAYAH ABUHADID
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
STEPHANIE FORD
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
SHANNON KUMMROW
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
COURTNEY NATHE
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
DONALD EKSTROM
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
BROOKE METTEER
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
ISABELLE STAGGS
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338

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 Sam's NPI number?

The NPI number for Miranda Sam is 1639957624. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Miranda Sam located?

Miranda Sam practices at 1801 Amber Ave S, Sartell, MN 56377. The listed phone number is (218) 287-4338.

What is Miranda Sam'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 Miranda Sam was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.