Individual
JENNIFER MARIE MINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 323-8216
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 325-2334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN44081
NV
363L00000X
Nurse Practitioner
Primary
APN001204
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00964593
RAILROAD MEDICARE
NV
Enumeration date
06/24/2010
Last updated
01/29/2019
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