Individual
ANN WINER
Active
Individual
ANN WINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
Update your record
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