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Individual

NICOLE YVETTE WINBUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2741 CAMPUS WALK AVE BLDG 500, DURHAM, NC 27705-8878
(919) 213-0662
Mailing address
106 E ELLERBEE ST, DURHAM, NC 27704-4228
(415) 529-8592

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
312299
NC
207Q00000X
Family Medicine Physician
48415
MN
207Q00000X
Family Medicine Physician
88691
GA
207Q00000X
Family Medicine Physician
A78596
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-23535
MEDICA - PRIMARY
MN
01
1042337
PREFERRED ONE
MN
01
2436123
ARAZ
MN
05
43828800
WI
05
663943700
MN
01
761T6WI
BCBS
MN
01
A78596
STATE MEDICAL LICENSE
CA
01
HP61533
HEALTHPARTNERS
MN
Enumeration date
10/03/2006
Last updated
03/17/2025
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