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Individual

AYISHA MINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 691-8310
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 691-8310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209031343
IL

Other

Enumeration date
01/31/2025
Last updated
05/20/2025
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