Individual
ANGELA MARIE MINIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
118 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4021
(505) 662-4798
Mailing address
118 CENTRAL PARK SQ, LOS ALAMOS, NM 87544-4021
(056) 625-4798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56973
NM
Other
Enumeration date
07/16/2019
Last updated
02/13/2020
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