Puri, Mindy L

Puri, Mindy L is an individual health care provider with primary practice located at 690 Minot Avenue , Auburn ME 04210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Puri, Mindy L can be contacted via phone (207) 783-1328.

Contact Information

Primary practice address
690 Minot Avenue Auburn ME 04210
Phone: (207) 783-1328
Fax: (207) 795-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104404 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA001264 Maine

Profile Details

NPI number 1386833317
LBN Legal business name Puri, Mindy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Aug 24th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386833317 NPPES
Maine MEDICAID 1386833317

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