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Kimberly Minich
Family Nurse Practitioner in La Porte, Indiana
NPI 1043525595

Kimberly Minich is a Family Nurse Practitioner based in Chesterton, IN and is specialized in Family. Kimberly Minich practices in La Porte, IN. The NPI Number for Kimberly Minich is 1043525595 and holds a License No. PENDING (Indiana).

The current practice location address for Kimberly Minich is 602 F St, La Porte, IN and can be reached out via phone at 219-324-1377.

Location: 602 F St, La Porte, IN, 46304-8708
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Provider Profile Details
NPI Number
1043525595
Provider Name
Kimberly Minich
Credential
Provider Entity Type
Individual
Gender
Female
Address
602 F St, La Porte, IN, 46304-8708
Phone Number
219-324-1377
Fax Number
Provider Enumeration Date
08/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00999289 01 IN RAILROAD MEDICARE
201004380 05 IN
000000711729 01 IN ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
602 F St
City
State
Zip
46350-5526
Phone Number
219-324-1377
Fax Number
person
Provider Business Mailing Address Details
Address
602 F St
City
State
Zip
46350-5526
Phone Number
219-324-1377
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
PENDING (Indiana)
Definition
Definition to come...
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