Individual
NANCY WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, ANP-C
Contact information
Practice address
105 ELLIOT AVE, LAKE GROVE, NY 11755-2045
(631) 913-8702
Mailing address
105 ELLIOT AVE, LAKE GROVE, NY 11755-2045
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305545-1
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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