MS. EKATERINA MIRONOVA AG-ACNP
NPI 1740697960
Nurse Practitioner - Acute Care in Derry, NH

Active since July 21, 2014
15 TSIENNETO RD, DERRY, NH 03038(603) 537-1300 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Ekaterina Mironova Ag-acnp NPPES

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

MS. EKATERINA MIRONOVA AG-ACNP (NPI 1740697960) is an individual acute care provider in Derry, New Hampshire, licensed in New Hampshire (087881-23) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1740697960
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. EKATERINA MIRONOVACredential: AG-ACNP
Location Address15 TSIENNETO RDDerry, NH 03038-1557
Mailing Address6 Buttrick Rd Ste 102Londonderry, NH 03053-3417 · (603) 537-1300
Sole ProprietorNo
Enumeration DateJuly 21, 2014
Last NPPES UpdateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
NPI 1740697960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in NH · 087881-23 Licensed in MA · RN2329856 Licensed in AZ · TAP5715
15 TSIENNETO RD, Derry, NH 03038

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.

Nurse Practitioner (Family)
15 TSIENNETO RD
DERRY, NH 03038
Nurse Practitioner (Family)
15 TSIENNETO RD
DERRY, NH 03038

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 Ekaterina Mironova's NPI number?

The NPI number for Ekaterina Mironova is 1740697960. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Ekaterina Mironova located?

Ekaterina Mironova practices at 15 Tsienneto Rd, Derry, NH 03038. The listed phone number is (603) 537-1300.

What is Ekaterina Mironova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Ekaterina Mironova was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.