Tenni Mynette Minyard, MD

Individual provider Active NPI Family Medicine Physician · Fruita, CO

NPI 1700969680 · NPPES record last updated Nov 23, 2020

Key facts

NPI
1700969680
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
DR.0036351 (CO)
Practice address
281 N Plum St
Fruita, CO 81521-2100
Phone
(970) 858-9894
Fax
(970) 858-1331
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0036351COMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0036351 CO Yes

Addresses

Primary practice location

281 N Plum St
Fruita, CO 81521-2100

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-9894

Other practice location 2

2237 Redlands Pkwy
Grand Junction, CO 81507-1101
Phone (970) 858-9894

Other names

  • Mynette M Foley Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mynetteminyard@fhwco.cernerdirect.com Direct

Other providers in Fruita, CO

All providers in Fruita, CO · Family Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.