Individual
CARRIE R MINNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N PALM CANYON DR STE 211, PALM SPRINGS, CA 92262-4426
(951) 687-3400
(760) 325-8629
Mailing address
3660 PARK SIERRA DR STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60652584
WA
207RN0300X
Nephrology Physician
Primary
A123820
CA
207RN0300X
Nephrology Physician
MD60652584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518299411
—
WA
05
—
CA444297
—
CA
Enumeration date
02/03/2010
Last updated
08/16/2021
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