Individual
CHRISTINE HERRERA MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2601 BLAIRSTONE RD STE GC3, TALLAHASSEE, FL 32301-5939
(251) 377-6865
Mailing address
1234 WAVERLY RD, TALLAHASSEE, FL 32312-2866
(251) 377-6865
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11010913
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2020
Last updated
01/11/2021
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