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Contact Information

MICHAEL J MINE, CRNP
20630 ROUTE 19
SUITE 101
CRANBERRY TOWNSHIP, PA16066
 Phone: 724-779-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHAEL J MINE · (Male)

NPI # 1457317414
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/26/2006
Last updated 06/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # VP000156A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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