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Individual

BONNIE LEE WINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
501 HAMPTON ROADS GASTROENTEROLOGY, HAMPTON, VA 23666-6080
(757) 826-3434
(703) 295-9369
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010184142
VA
05
1366404543
VA
01
P01168429
RAILROAD MEDICARE
VA
01
Q42522A
PALMETTO MEDICARE
VA
Enumeration date
04/04/2006
Last updated
04/13/2015
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