Individual
MS. KRYSTINA M MINTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3100 MOUNTAIN RD, SUITE E, PASADENA, MD 21122-2018
(410) 360-4446
(410) 360-4449
Mailing address
3100 MOUNTAIN RD, SUITE E, PASADENA, MD 21122-2018
(410) 360-4446
(410) 360-4449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R160139
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112728
PRIORITY PARTNERS
MD
01
—
521116591
COVENTRY
MD
01
—
61308701
CAREFIRST BC/BS RENDERING
MD
01
—
6560084
CIGNA
MD
01
—
759524
NCPPO
MD
05
—
784381000
—
MD
01
—
T5880038
CF BC/BS GRP/GHMSI/BL CHO
MD
01
—
W6420009
BCBS
MD
Enumeration date
09/07/2006
Last updated
11/30/2015
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