Provider Demographics
NPI:1326806951
Name:MINYARD, NADENE ELAINE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:NADENE
Middle Name:ELAINE
Last Name:MINYARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:NADENE
Other - Middle Name:ELAINE
Other - Last Name:HOLCOMB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 N TOWN EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8318
Mailing Address - Country:US
Mailing Address - Phone:760-521-3543
Mailing Address - Fax:
Practice Address - Street 1:910 ELM ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-6759
Practice Address - Country:US
Practice Address - Phone:972-562-9473
Practice Address - Fax:214-444-7705
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1154861207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine