Individual
NICOLE D. M. MINIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-7222
(219) 866-7001
Mailing address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-7222
(219) 866-7001
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041386097
IL
163WG0000X
General Practice Registered Nurse
209011762
IL
163WG0000X
General Practice Registered Nurse
Primary
28192832A
IN
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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