Individual
COURTNEY MINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1726 CALDBECK LN, FRESNO, TX 77545-6004
(832) 405-3932
Mailing address
1726 CALDBECK LN, FRESNO, TX 77545-6004
(832) 405-3932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1095935
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2022
Last updated
01/25/2023
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