Individual
EMILY HELEN CRISLER-WINARTA
Active
Individual
EMILY HELEN CRISLER-WINARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
ATR-009043
AZ
363A00000X
Physician Assistant
11612
AZ
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
11612
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11612
ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
01
—
1243228
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
01
—
2000034453
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
ATR-009043
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
Enumeration date
05/26/2021
Last updated
08/12/2026
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