Individual
GLENNA B. WINNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 E. HIRST ROAD, SUITE 303, PURCELLVILLE, VA 20132
(703) 226-2290
(703) 289-1414
Mailing address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
MD34168
DC
2080S0012X
Pediatric Sleep Medicine Physician
Primary
0101234661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034817300
—
DC
01
—
0885
CAREFIRST
DC
05
—
565500501
—
DC
05
—
6739989
—
VA
Enumeration date
10/10/2006
Last updated
05/06/2009
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