Individual
AZSHA WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13667 EUREKA RD, SOUTHGATE, MI 48195-1332
(734) 530-6777
(734) 468-1156
Mailing address
28650 SUNSET BLVD W, LATHRUP VILLAGE, MI 48076-7020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672570-1
NY
363LF0000X
Family Nurse Practitioner
Primary
4704310223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704310223
MICHIGAN NP LICENSE NUMBER
MI
01
—
672570-1
RN LICENSE NUMBER
NY
Enumeration date
09/03/2013
Last updated
03/10/2026
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