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Individual

NICOLE MARIE WINNIE

Active
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Individual

NICOLE MARIE WINNIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, WHNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
790048
CA
363L00000X
Nurse Practitioner
95027089
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95027089
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
790048
REGISTERED NURSE LICENSE NUMBER
CA
01
95027089
NURSE PRACTITIONER FURNISHING LICENSE
CA
Enumeration date
12/21/2023
Last updated
12/21/2023
Update your record

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