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Individual
STACY WINCHELL
Active
Individual
STACY WINCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WNP5133E
PPIN #1
CA
01
—
WNP5133F
PPIN #2
CA
Enumeration date
07/04/2006
Last updated
03/07/2023
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