| Courtney M Minor, WHNP | |
|
801 Broadway St, Fairfield, CA 94533-6219 | |
| (601) 334-6893 | |
| Not Available |
| Full Name | Courtney M Minor |
|---|---|
| Gender | Female |
| Speciality | Midwife |
| Location | 801 Broadway St, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033971734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 95028502 (California) | Secondary |
| 176B00000X | Midwife | 236433 (California) | Primary |
| Entity Name | Regents of the University of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760552343 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | UCSF Dept of Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney M Minor, WHNP 801 Broadway St, Fairfield, CA 94533-6219 Ph: (601) 334-6893 | Courtney M Minor, WHNP 801 Broadway St, Fairfield, CA 94533-6219 Ph: (601) 334-6893 |