Individual
WILLIAM ANDREW MINTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-0577
Mailing address
PO BOX 643179, CINCINNATI, OH 45264-3179
(937) 293-0247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28143161A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.164877-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280767
ANTHEM
IN
05
—
0808031
—
OH
05
—
200113370
—
IN
01
—
P00005484
RAILROAD MEDICARE
IN
Enumeration date
12/13/2005
Last updated
03/17/2018
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