Prouty, Mindy Kay

Prouty, Mindy Kay is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Prouty, Mindy Kay can be contacted via phone (564) 240-4200.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 3 Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN60968793 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP61005851 Washington

Profile Details

NPI number 1134779804
LBN Legal business name Prouty, Mindy Kay
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Feb 14th, 2022 - about 2 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 1134779804 NPPES
Washington MEDICAID 2141976

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