Minton, Judy Ann

Minton, Judy Ann is an individual health care provider with primary practice located at 656 Waterford Ln , Decatur IL 62526-9386. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Minton, Judy Ann can be contacted via phone (217) 454-4295.

Contact Information

Primary practice address
656 Waterford Ln Decatur IL 62526-9386
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-000703 Illinois

Profile Details

NPI number 1326010463
LBN Legal business name Minton, Judy Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 29th, 2015 - about 10 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 1326010463 NPPES
Illinois MEDICAID 041202013

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