Individual
MS. MINDY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 WM CHIPLEY ST, CARTHAGE, MS 39051-4256
(601) 267-3072
Mailing address
633 HEINDL RD, CANTON, MS 39046-9781
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R515183
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124002
—
MS
Enumeration date
10/16/2006
Last updated
07/08/2007
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