Doctor Name: | MS. VICTORIA W MINTER |
NPI Number: | 1497878292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, CRNP |
License Number: | 1-052450 |
Business Practice Address: | 8225 Al Highway 75 Horton, AL - 359808473 |
Business Phone Number: | 2565933804 |
Business Fax Number: | 2565933805 |
Mailing Address: | Po Box 97, GADSDEN |
State: | AL |
Postal Code: | 359020097 |
Phone Number: | 2564920131 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2007 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-052450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |