Individual
DANIELLE WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12122 FERN HAVEN AVE, GIBSONTON, FL 33534-5664
(414) 336-4167
Mailing address
12122 FERN HAVEN AVE, GIBSONTON, FL 33534-5664
(414) 336-4167
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11009597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117773400
—
FL
01
—
I8X2X
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/10/2022
Last updated
07/11/2023
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