Individual
ANNETTE MINICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 E CITRUS AVE, REDLANDS, CA 92374-4270
(909) 794-3628
(909) 389-1317
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
424458
CA
363LF0000X
Family Nurse Practitioner
Primary
95001255
CA
Other
Enumeration date
04/22/2015
Last updated
01/12/2026
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