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NPI Code Detail

MEDICARE: VICTORIA J MINARD RN

MEDICARE:   VICTORIA J MINARD  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse93181CO

General Provider Information

NPI Number : 1336290303
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA J MINARD RN
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81602-0040
Country : US
Telephone Number : 970-945-2241
Fax Number : 970-945-5523
Provider Business Practice Location Address
First Line : 515 28 3/4 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5016
Country : US
Telephone Number : 970-241-6023
Fax Number : 970-242-8330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 06/21/2026

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