IndividualActive
Miranda Christmas, CSA
NPI 1730435041 · Surgical Technologist · Libertyville, IL
Provider details
- NPI number
- 1730435041
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3943 (WI)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (262) 497-9446
Approximate (ZIP-level) locationGet directions
Mailing address
2604 21st St
Kenosha, WI 53140-1775
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2012-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.