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Individual
NICOLE YVETTE WINBUSH
Active
Individual
NICOLE YVETTE WINBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312299
NC
207Q00000X
Family Medicine Physician
48415
MN
207Q00000X
Family Medicine Physician
88691
GA
207Q00000X
Family Medicine Physician
A78596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-23535
MEDICA - PRIMARY
MN
01
—
1042337
PREFERRED ONE
MN
01
—
2436123
ARAZ
MN
05
—
43828800
—
WI
05
—
663943700
—
MN
01
—
761T6WI
BCBS
MN
01
—
A78596
STATE MEDICAL LICENSE
CA
01
—
HP61533
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
03/17/2025
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