Individual
MRS. ELISABETH F. WINET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4609 GRAPE RD, SUITE D -7B, MISHAWAKA, IN 46545-2649
(574) 286-9939
Mailing address
4609 GRAPE RD, SUITE D -7B, MISHAWAKA, IN 46545-2649
(574) 286-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336956
ANTHEM BCBS #
IN
05
—
200421950
—
IN
Enumeration date
07/20/2005
Last updated
09/03/2013
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