Individual
MRS. MARY C WINSTON
Active
Individual
MRS. MARY C WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP,RN
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0024065991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144874
SOUTHERN HEALTH SERVICES
VA
01
—
B4313
RAILROAD MEDICARE
VA
01
—
C00827
MEDICARE
VA
Enumeration date
09/19/2005
Last updated
05/06/2008
Update your record
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