Provider Demographics
NPI:1134883663
Name:FRANCO, MIRANDA VICTORIA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:VICTORIA
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:MIRANDA
Other - Middle Name:VICTORIA
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-865-2855
Mailing Address - Fax:501-865-2868
Practice Address - Street 1:6679 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:AR
Practice Address - Zip Code:71929-7179
Practice Address - Country:US
Practice Address - Phone:501-865-2855
Practice Address - Fax:501-865-2868
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-31
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215425363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily