| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MYRANDA LESLEY KRIDER | 1548080740 | 2024-10-12 |
Myranda Lesley Krider is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548080740. Registration indicates Myranda Lesley Krider is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Myranda Lesley Krider NP |
| Practice Office Address | 9100 WILSHIRE BLVD BEVERLY HILLS, CA US |
| Practice Office Telephone | 4247770708 |
| Mailing Address | 9649 W OLYMPIC BLVD APT 4 BEVERLY HILLS, CA 902123746 US |
| Business Telephone | 7607808293 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95031288
CA |