Individual
MRS. MINDY S HOUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
901 KIMOLE LN STE A4, ADRIAN, MI 49221-1491
(517) 265-0680
(517) 263-8012
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704197035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155600
—
OH
05
—
1497128409
—
MI
Enumeration date
11/12/2015
Last updated
01/27/2024
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