Provider Demographics
NPI:1316181761
Name:MIRANDA, FLORIKA EVELYN (RN)
Entity Type:Individual
Prefix:MRS
First Name:FLORIKA
Middle Name:EVELYN
Last Name:MIRANDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:FLORIKA
Other - Middle Name:EVELYN
Other - Last Name:VALOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,GCM
Mailing Address - Street 1:1325 MCKINLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:LACKAWANNA
Mailing Address - State:NY
Mailing Address - Zip Code:14218-1641
Mailing Address - Country:US
Mailing Address - Phone:716-823-1476
Mailing Address - Fax:716-299-2800
Practice Address - Street 1:1325 MCKINLEY PKWY
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-1641
Practice Address - Country:US
Practice Address - Phone:716-823-1476
Practice Address - Fax:716-299-2800
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY372780-1163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management