Organization
VILLA MINCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MINCH FNP-BC (OWNER/FAMILY NURSE PRACTITIONER)
(480) 543-8400
Entity
Organization
Contact information
Practice address
1212 N SPENCER, SUITE 3, MESA, AZ 85203-4347
(480) 726-7792
Mailing address
1212 N SPENCER, SUITE 3, MESA, AZ 85203-4347
(480) 726-7792
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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