Individual
MRS. CHRISTY EILEEN MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
630 BROADWAY ST # 2, MADISON, IN 47250-3310
(812) 801-0995
(812) 801-8621
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(812) 801-0995
(812) 801-8621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015919A
IN
363LP2300X
Primary Care Nurse Practitioner
71015919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098974
—
IN
05
—
7101026100
—
KY
Enumeration date
10/21/2024
Last updated
02/02/2026
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