SUSAN HELEN MIRANDA
NPI 1881565653
Nurse Practitioner - Family in Riverside, CA
Active since September 15, 2025
About Susan Helen Miranda NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN HELEN MIRANDA (NPI 1881565653) is an individual family provider in Riverside, California, licensed in California (95037006) and active in the NPI registry since September 2025.
NPPES Registry Identity
NPI1881565653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN HELEN MIRANDA
Location Address3957 BROADMOOR STRiverside, CA 92503-4055
Mailing Address3957 Broadmoor StRiverside, CA 92503-4055
Phone(714) 574-0840
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1881565653 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95037006
3957 BROADMOOR ST, Riverside, CA 92503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881565653, enumerated as an "individual" on September 15, 2025.
The provider is located at 3957 BROADMOOR ST RIVERSIDE, CA 92503 and the phone number is (714) 574-0840.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
