Miner, Katie

Miner, Katie is an individual health care provider with primary practice located at 3301 N Oak Street Ext , Valdosta GA 31605-1014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miner, Katie can be contacted via phone (229) 242-6061.

Contact Information

Primary practice address
3301 N Oak Street Ext Valdosta GA 31605-1014
Phone: (229) 242-6061
Fax: (229) 242-6151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 140594 Georgia

Profile Details

NPI number 1568490928
LBN Legal business name Miner, Katie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568490928 NPPES
Georgia MEDICAID 000954236D

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