Individual
LOURIE LEA WINEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
7201 EVANS ST, AMARILLO, TX 79106-1707
(806) 354-1810
(806) 354-1852
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(806) 354-1810
(806) 354-1852
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
585129
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F7178
PTAN
TX
05
—
200921070A
—
OK
05
—
46928545
—
NM
Enumeration date
03/08/2019
Last updated
10/27/2020
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