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NICOLE ANNA WINIGRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-2780
Mailing address
414 S 16TH ST UNIT 203, PHILADELPHIA, PA 19146-1989
(609) 707-3873

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029014
PA

Other

Enumeration date
05/10/2024
Last updated
05/10/2024
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