KEELY MARLENE MIINCH AGACNP-BC NPI 1952955502

NPI Information

NPI: 1952955502
Provider Name: KEELY MARLENE MIINCH, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
7362 W THUNDERBIRD RD STE 101
PEORIA, AZ
ZIP 85381
Phone: (480) 610-6100
Get Directions

Keely Marlene Miinch, AGACNP-BC is an acute care nurse practitioner in Peoria, AZ with 5 years of experience. Keely Marlene Miinch, AGACNP-BC NPI is 1952955502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7362 W THUNDERBIRD RD STE 101
PEORIA, AZ
ZIP 85381-028
Phone: (480) 610-6100
Fax: (602) 843-8426

The NPI 1952955502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	230200	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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