MS. EKATERINA MIRONOVA AG-ACNP NPI 1740697960

NPI Information

NPI: 1740697960
Provider Name: MS. EKATERINA MIRONOVA, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: POST ACUTE CARE CLINICIANS LLC

PECOS Registration: Yes

Address:
819 WORCESTER ST STE 1
SPRINGFIELD, MA
ZIP 01151
Phone: (413) 304-2501
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MS. Ekaterina Mironova, AG-ACNP is an acute care nurse practitioner in Springfield, MA with 11 years of experience. MS. Ekaterina Mironova, AG-ACNP NPI is 1740697960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

819 WORCESTER ST STE 1
SPRINGFIELD, MA
ZIP 01151-056
Phone: (413) 304-2501
Fax: (413) 789-0290

The NPI 1740697960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 4/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	RN2329856	MASSACHUSETTS	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	TAP5715	ARIZONA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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