Individual
JANE ANDREA MINISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CNOR, CRNFA
Contact information
Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 531-0951
(360) 437-9162
Mailing address
PO BOX 2063, BREMERTON, WA 98310-0239
(360) 531-0951
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00056165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161212
WASHINGTON STATE L&I
WA
01
—
201937463-01
KPS
WA
01
—
5902MI
REGENCE BLUE CROSS
WA
05
—
9635079
—
WA
Enumeration date
01/21/2006
Last updated
07/08/2007
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