Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024178641 | VA |
NPI | 1023648086 |
---|---|
Provider Name | Sherrica Minor |
First Address | Fredericksburg, VA 22408-4179 |
Second Address | Fredericksburg, VA 22408-4179 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2020 |
Last Update Date | 17/01/2020 |