# MARY MARGARET MINSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619286150
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | P-T1015 | AR | Yes |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 09/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619286150 | NPI | AR |
| 05 | — | 191339795 | — | AR |
| 01 | — | 57428P278 | BCBS AR | AR |
| 01 | — | P-T1015 | STATE LICENSE | AR |