Organization
SUSAN MINTER DNP APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MINTER NP (PRESIDENT)
(571) 214-6755
Entity
Organization
Contact information
Practice address
1234 RIDOUT RD, LA CROSSE, VA 23950-2808
(571) 214-6755
Mailing address
1234 RIDOUT RD, LA CROSSE, VA 23950-2808
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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