Individual
MICHELLE MINEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
407 CENTRAL AVE, JOHNSTOWN, PA 15902-2502
(814) 536-7596
Mailing address
407 CENTRAL AVE, JOHNSTOWN, PA 15902-2502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN300460L
PA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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