Individual
MR. EVAN MINKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-2805
(413) 794-0000
Mailing address
547 MAPLE RD, LONGMEADOW, MA 01106-3125
(203) 450-2582
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10247
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2323183
MA
Other
Enumeration date
06/21/2017
Last updated
07/06/2022
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