Individual
ELLEN MINERVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 W 14TH ST STE 1E40, WILMINGTON, DE 19801-1013
(302) 320-2100
(302) 320-2121
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
15545
NH
2084P0800X
Psychiatry Physician
C1-0025864
DE
2084P0800X
Psychiatry Physician
MD20357
DC
2084P0800X
Psychiatry Physician
Primary
MD479339
PA
Other
Enumeration date
02/03/2006
Last updated
03/07/2023
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