Individual
MS. ANGELA W. WINBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10808 FALL CREEK DR W, JACKSONVILLE, FL 32222-1392
(904) 210-6127
Mailing address
10808 FALL CREEK DR W, JACKSONVILLE, FL 32222-1392
(904) 210-6127
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
3143852
FL
363L00000X
Nurse Practitioner
Primary
11003085
FL
Other
Enumeration date
06/22/2019
Last updated
09/28/2020
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