Individual
MRS. JUDY ANN MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
656 WATERFORD LN, DECATUR, IL 62526-9386
(217) 454-4295
Mailing address
656 WATERFORD LN, DECATUR, IL 62526-9386
(217) 454-4295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041202013
—
IL
Enumeration date
02/03/2006
Last updated
10/29/2015
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