Individual
MARY LYNN MINERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6565 E CARONDELET DR, STE 155, TUCSON, AZ 85710-3587
(520) 886-0206
(520) 886-0829
Mailing address
1760 E RIVER RD, 350, TUCSON, AZ 85718-5999
(520) 519-7720
(520) 519-5181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN089032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527202
—
AZ
Enumeration date
06/09/2006
Last updated
01/30/2012
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