Individual
LAURA MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(970) 444-2293
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(970) 444-2293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000095880
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1087904
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3017688
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3659
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100817060
—
KY
Enumeration date
05/16/2022
Last updated
08/23/2024
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