Individual
COURTNEY M MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
801 BROADWAY ST, FAIRFIELD, CA 94533-6219
(601) 334-6893
Mailing address
801 BROADWAY ST, FAIRFIELD, CA 94533-6219
(601) 334-6893
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236433
CA
363LW0102X
Women's Health Nurse Practitioner
95028502
CA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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