Individual provider · Type 1 NPI
Mary Illig Minielly, APRN
Nurse Practitioner · Oklahoma City, OK
Practice location
8100 S. Walker Avenue, Building A
Oklahoma City, OK 73139-9404
Fax (405) 631-4964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R0059137 (OK) |
| Acute Care Nurse Practitioner | 363LA2100X | R0059137 (OK) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1417086380
Mary Illig Minielly, APRN's National Provider Identifier is 1417086380, issued on Mar 5, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 7, 2023.