Miranda Paige Wallace, in Hurricane, UT - Student in an Organized Health Care Education/Training Program

Miranda Paige Wallace, is a Student In An Organized Health Care Education/training Program based in Hurricane, Utah. Miranda Paige Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is 4 S 2600 W Ste 6, Hurricane, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 229-8405.

NPI number for Miranda Paige Wallace is 1164134094 and her current mailing address is 101 S Main St, Hurricane, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164134094.

Contact Information

	Miranda Paige Wallace,
	4 S 2600 W Ste 6, Hurricane, UT 84737-3247
	(435) 229-8405
	Not Available

Healthcare Provider's Profile

Full Name	Miranda Paige Wallace
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	4 S 2600 W Ste 6, Hurricane, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1164134094
Provider Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022

Medical Identifiers

Medical identifiers for Miranda Paige Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164134094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Paige Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miranda Paige Wallace, 101 S Main St, Hurricane, UT 84737-2631 Ph: (318) 355-3099	Miranda Paige Wallace, 4 S 2600 W Ste 6, Hurricane, UT 84737-3247 Ph: (435) 229-8405

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Miranda Paige Wallace, - Counselor in Hurricane, UT