Individual
MS. BERNADETTE WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19410 87TH RD, HOLLIS, NY 11423-1402
(917) 613-7338
Mailing address
19410 87TH RD, HOLLIS, NY 11423-1402
(917) 613-7338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
373063
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
373063
NY
163WA2000X
Administrator Registered Nurse
373063
NY
163WG0000X
General Practice Registered Nurse
Primary
373063
NY
163WP2201X
Ambulatory Care Registered Nurse
373063
NY
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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