Individual
NICOLE LYNN MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
705 W 7TH AVE STE H2, SPOKANE, WA 99204-2836
(509) 842-3900
Mailing address
705 W 7TH AVE STE H2, SPOKANE, WA 99204-2836
(509) 842-3900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61496545
WA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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