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Individual

BLAINE WINCHESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2263047
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9440284
FL

Other

Enumeration date
08/24/2015
Last updated
05/10/2017
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