Individual
MRS. KATHLEEN ANN MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
224 ANTHONY DR, ANTHONY, NM 88021-9366
(817) 528-5260
Mailing address
477 OAK TREE CT, EL PASO, TX 79932-3140
(817) 528-5260
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
889319
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70742
NM
Other
Enumeration date
05/19/2016
Last updated
01/18/2023
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