| Doctor Name: | NAOMI E MINKS |
| NPI Number: | 1265749857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4158-33 |
| Business Practice Address: | 625 Peterson Ave Phillips, WI - 545551452 |
| Business Phone Number: | 7153394035 |
| Business Fax Number: | 7153394036 |
| Mailing Address: | 143 South Gibson Street, MEDFORD |
| State: | WI |
| Postal Code: | 544511622 |
| Phone Number: | 7157482121 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2010 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4158-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |