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NPI Code Detail

MEDICARE: BONNIE MINTER CPNP

MEDICARE: BONNIE MINTER CPNP
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
1363LP0200XPediatric Nurse PractitionerRN081530GA

General Provider Information

NPI Number : 1588608707
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE MINTER CPNP
Provider Business Mailing Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 404-785-9400
Fax Number : 404-785-9041
Provider Business Practice Location Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 404-785-9400
Fax Number : 404-785-9041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 01/25/2024

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Directions to “ BONNIE MINTER CPNP” Practice Location

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