Provider Demographics
NPI:1346785839
Name:MINOR, NORIE DANIELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:NORIE
Middle Name:DANIELLE
Last Name:MINOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:NORIE
Other - Middle Name:DANIELLE
Other - Last Name:KIRTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:16222 US HIGHWAY 24
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-5152
Mailing Address - Country:US
Mailing Address - Phone:719-686-0878
Mailing Address - Fax:719-365-7885
Practice Address - Street 1:16222 US HIGHWAY 24
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-5152
Practice Address - Country:US
Practice Address - Phone:719-686-0878
Practice Address - Fax:719-365-7885
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994152-NP363LF0000X
CORN.0201289207Q00000X, 163W00000X
COAPN.0994152207Q00000X
CORXN.0103537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000166167Medicaid