Individual
MINYON OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
661 E ALTAMONTE DR STE 328, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-5204
(407) 303-5205
Mailing address
661 E ALTAMONTE DR STE 328, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-5204
(407) 303-5205
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN11001159
FL
Other
Enumeration date
02/15/2019
Last updated
12/05/2019
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