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Individual

ANN WINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
PO BOX 800778, CHARLOTTESVILLE, VA 22908-0778
(434) 982-4228
(434) 924-2078

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024055761
VA
367500000X
Certified Registered Nurse Anesthetist
RN-176227
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000125734
ANTHEM BCBS INDV NUMBER
OH
05
0751315
OH
01
100153
EMPLOYER KAISER GROUP #
OH
01
120811
KAISER PERMANENTE INDV #
OH
01
2080224
EMP UNITED HEALTHCARE GRP
OH
01
34-0891295
EMPLOYER FEDERAL TAX ID #
OH
05
7091249
OH
01
730618
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/10/2006
Last updated
09/26/2012
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