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Individual
MINTA J. SHIRLEY
Active
Individual
MINTA J. SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP03741
LA
363LF0000X
Family Nurse Practitioner
Primary
COA.13367-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78007200
—
KY
Enumeration date
05/28/2006
Last updated
10/22/2012
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