Individual
MRS. BREAHA R WININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003649A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000977546
ANTHEM BCBS
—
05
—
201100560
—
IN
05
—
7100332240
—
KY
01
—
71003649
INDIANA STATE LICENSE
IN
Enumeration date
06/07/2011
Last updated
03/05/2024
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