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NPI Code Detail

MEDICARE: MS. RENEE MARIE MINOTTI PMHNP-BC

MEDICARE: MS. RENEE MARIE MINOTTI PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCNP12255OH
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRNCNP12255OH

General Provider Information

NPI Number : 1871773937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE MARIE MINOTTI PMHNP-BC
Provider Business Mailing Address
First Line : 1815 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1106
Country : US
Telephone Number : 330-740-9200
Fax Number : 216-229-2974
Provider Business Practice Location Address
First Line : 1815 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1106
Country : US
Telephone Number : 330-740-9200
Fax Number : 216-229-2974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 04/07/2022

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