Individual
SHELLI Y WINTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3909 NEW VISION DR, SUITE 1, FORT WAYNE, IN 46845-1725
(260) 469-6602
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004332A
IN
363LF0000X
Family Nurse Practitioner
71004332A
IN
Other
Enumeration date
01/04/2013
Last updated
07/14/2021
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