Individual
PENNY SUE MINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 N 6TH ST, INDIANOLA, NE 69034-3424
(308) 340-8785
Mailing address
39861 ROAD 721, BARTLEY, NE 69020-6131
(308) 340-8785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
40212
NE
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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