Individual
COURTNEY LOIS MINITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
1195 SIDE B MAIN STREET, BRANFORD, CT 06405
(203) 361-7619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8947
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8947
—
CT
Enumeration date
07/16/2020
Last updated
06/15/2022
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