Individual
DAWN M WINCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2134 SANDY DR STE 16, STATE COLLEGE, PA 16803-2292
(814) 272-5805
(814) 272-0110
Mailing address
2134 SANDY DR STE 16, STATE COLLEGE, PA 16803-2292
(814) 272-5805
(814) 272-0110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN326105L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012639
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262544ZA9K
MEDICARE PTAN
PA
Enumeration date
08/28/2012
Last updated
10/31/2019
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