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Individual

ELISA MARIE MINCHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, RN

Contact information

Practice address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
(303) 249-2391
Mailing address
1805 JASMINE DR, LANSING, MI 48917-7745
(303) 249-2391

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704406494
MI
163WC1400X
College Health Registered Nurse
Primary
4704406494
MI

Other

Enumeration date
12/19/2024
Last updated
12/19/2024
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