Individual
MINDY KAY PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Mailing address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN60968793
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61005851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141976
—
WA
Enumeration date
09/16/2019
Last updated
02/14/2022
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