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Individual

LORETTA MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, AGNP

Contact information

Practice address
990 MAIN ST, SUITE 1, BALDWIN, WI 54002
(715) 629-1888
Mailing address
990 MAIN ST, SUITE 1, BALDWIN, WI 54002

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9609
MN

Other

Enumeration date
10/19/2022
Last updated
03/05/2026
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