Individual
CAYLEIGH M MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4310 LONDONDERRY RD, HARRISBURG, PA 17109-5300
(717) 671-2050
(717) 671-2051
Mailing address
4310 LONDONDERRY RD, HARRISBURG, PA 17109-5300
(717) 671-2050
(717) 671-2051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP014097
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102964448
—
PA
Enumeration date
08/14/2014
Last updated
07/24/2020
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