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Individual

EMILY HELEN CRISLER-WINARTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, ATC

Contact information

Practice address
3100 N CENTRAL AVE, PHOENIX, AZ 85012-2637
(602) 812-3120
Mailing address
3100 N CENTRAL AVE, PHOENIX, AZ 85012-2637

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
ATR-009043
AZ
363A00000X
Physician Assistant
Primary

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
04/15/2026
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