Individual
AUDREY MINOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2318525
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
8926
MN
Other
Enumeration date
05/29/2020
Last updated
03/02/2022
Update your record
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