Individual
ERICA AUDREY WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(303) 885-1103
Mailing address
3445 BERKELEY ST APT 444, ALEXANDRIA, VA 22302-1294
(303) 885-1103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008018
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2021
Last updated
08/25/2021
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