Individual
DEBRA WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(630) 835-6867
Mailing address
8 DETROIT ST, HAMMOND, IN 46320-3004
(630) 835-6867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28246150A
IN
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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