T R Minafee Family Nurse Practitioner LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

T R MINAFEE FAMILY NURSE PRACTITIONER LLC

Practice address

4516 W Magdalena LN
Laveen, AZ 85339-2350

Phone

(414) 803-7824

NPI assigned

Aug 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya Minafee

Title

FNP

Phone

(414) 803-7824

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1023562402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 W MAGDALENA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392350",
            "telephone_number": "414-803-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 W MAGDALENA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392350",
            "telephone_number": "414-803-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T R MINAFEE FAMILY NURSE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "MINAFEE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "414-803-7824"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.