Provider Demographics
NPI:1134668098
Name:MINIER, ELLEN ASHBY (RN-PMHNP)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:ASHBY
Last Name:MINIER
Suffix:
Gender:F
Credentials:RN-PMHNP
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:MINIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:23 WESTMONT DRIVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806
Mailing Address - Country:US
Mailing Address - Phone:828-989-0196
Mailing Address - Fax:
Practice Address - Street 1:23 WESTMONT DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806
Practice Address - Country:US
Practice Address - Phone:828-989-0196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC245944363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health