Talley, Mindy B.

Talley, Mindy B. is an sole proprietor health care provider with primary practice located at 1613 Harrison Pkwy #200, Sunrise FL 33323-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Talley, Mindy B. can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
1613 Harrison Pkwy #200 Sunrise FL 33323-2853
Phone: (954) 838-2371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2954942 Florida

Profile Details

NPI number 1376516872
LBN Legal business name Talley, Mindy B.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Dec 3rd, 2009 - about 15 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 1376516872 NPPES
Florida MEDICAID 306079900

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