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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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MINADEO, JENNIFER       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: VA MEDICAL CENTER
1501 SAN PEDRO DR SE
ALBUQUERQUE NM 87108

Address last updated on 6/5/2024
Phone #: (505) 265-1711
Fax #:
County: NOT OKLAHOMA
License: 30846
Dated: 7/1/2014
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St Matthew's Univ-Grand Cayman
Graduated: 5 / 2010
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Chickasaw Nation Medical Center
Ada, OK
Claremore Indian Hospital (IHS)
Claremore, OK
Hospital Not Listed
,
Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
VA MEDICAL CENTER
1501 SAN PEDRO DR SE
ALBUQUERQUE NM 87108

Phone #: (505) 265-1711
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY MARIE CAMPBELL PA 2013
ERIN MARIE CAPPS PA 2074
JAYNE ELIZABETH CONTRERAS PA 2103
NANDINI ASNANI DHAMEJA PA 2919
CINDY LEE DUNLAP PA 2075
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
LARRY MARTIN HYTCHE PA 1975
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
LEONARDO RAUCH PA 1733
SHAYNIEL STEARS PA 2708
RICHELLE CHRISTINE VOTH PA 2427

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