IndividualActive
Angela Miracle, APRN
NPI 1669984852 · Nurse Practitioner · Covington, KY
Provider details
- NPI number
- 1669984852
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3011802 (KY)
Practice location
20 West 18th Street
Covington, KY 41011-3329
Phone: (859) 757-0717
Fax: (859) 331-2425
Mailing address
Po Box 635283
Cincinnati, OH 45263-5283
Registry dates
- Enumerated
- 2017-10-29
- Last updated
- 2023-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.