Individual
MRS. ALICE MAXINE WINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
606 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-7779
(573) 756-6914
Mailing address
606 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-7779
(573) 756-6914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
046941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425243516
—
MO
Enumeration date
09/06/2005
Last updated
03/22/2011
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