Doctor Name: | MINDY UNRAU |
NPI Number: | 1003294679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP127684 |
Business Practice Address: | 1900 S Coulter St Ste C Amarillo, TX - 791061754 |
Business Phone Number: | 8063533061 |
Business Fax Number: | |
Mailing Address: | 1900 S Coulter St Ste C, AMARILLO |
State: | TX |
Postal Code: | 791061754 |
Phone Number: | 8063533061 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP127684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |