Individual
MRS. HOLLY R MINNICK-BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-C
Contact information
Practice address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 983-8507
(253) 983-8576
Mailing address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 983-8507
(253) 983-8576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
#AP60594013,
WA
Other
Enumeration date
10/27/2015
Last updated
05/31/2016
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