MEDICARE: APRIL LYNN MINOR

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
1	101YM0800X	Mental Health Counselor	13437	NE
2	103TS0200X	School Psychologist	20240005994	NE
3	103TS0200X	School Psychologist	1121680	IA

General Provider Information

NPI Number	:	1508548645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LYNN MINOR

Provider Business Mailing Address
First Line	:	1705 O ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3062
Country	:	US
Telephone Number	:	402-960-9805
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 O ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3062
Country	:	US
Telephone Number	:	402-960-9805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	11/03/2025

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Directions to “ APRIL LYNN MINOR ” Practice Location

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