Individual
KRISTIN ELIZABETH MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4232
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4232
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
3009780
KY
367A00000X
Advanced Practice Midwife
Primary
AP60623402
WA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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