Individual
MS. OLIVIA WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-7160
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015016105
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.000213
IL
363LP2300X
Primary Care Nurse Practitioner
2015016105
MO
363LP2300X
Primary Care Nurse Practitioner
AP8542
AZ
Other
Enumeration date
06/24/2015
Last updated
10/09/2019
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