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Miranda Ammons Hilburn

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5-4257 Bastogne Drive, Fort Liberty, NC 28310-0001

PECOS Enrollment

This provider is enrolled in PECOS as MIRANDA HILBURN.

Based on the most recent information from CMS, provider Miranda Ammons Hilburn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1043613102
Provider Type
Individual
Full Name
Hilburn, Miranda Ammons
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/3/2014
Last Updated
7/15/2024

Contact Information

Practice Location

5-4257 Bastogne Drive, Fort Liberty, NC 28310-0001

(910) 907-9066

Unlisted Fax

Mailing Location

603 Beaman Street, Clinton, NC 28328

(910) 590-3397

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5007164 North Carolina

Miranda Ammons Hilburn

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hart, Carolyn

Lane, Mctisa Michelle

Maddox, Tonya

Durgan, Sekeya Edreekia

Frank, Megan

Jackson, Robin Lashawn

Lutzen, Carrie E

Saunders, Rodney

Cottle, Alix Caitlin

Yamashita, Mika I