Individual
STACI RENE WINNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4567 CAROLINE GRACE LN, TERRE HAUTE, IN 47802-8274
(812) 230-4441
Mailing address
4567 CAROLINE GRACE LN, TERRE HAUTE, IN 47802-8274
(812) 230-4441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09211386
IN
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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