Individual
MS. SUSAN B WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,FNP
Contact information
Practice address
989 ROUTE 146, BUILDING 200, CLIFTON PARK, NY 12065-3646
(518) 383-0891
(518) 383-1662
Mailing address
989 ROUTE 146, BUILDING 200, CLIFTON PARK, NY 12065-3646
(518) 383-0891
(518) 383-1662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000410779001
BSNENY
NY
05
—
02713959
—
NY
01
—
070327000106
FIDELIS
NY
01
—
102388
GHI/HMO
NY
01
—
200439
SENIOR WHOLE HEALTH
NY
01
—
385801
MVP HEALTHCARE
NY
Enumeration date
08/31/2006
Last updated
10/29/2008
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