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GLENDA DEAN WINCHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
911 S HUGHES ST, APEX, NC 27502-7731
(919) 363-6011
(919) 363-6013
Mailing address
7431 114TH AVE STE 104, LARGO, FL 33773-5119
(800) 632-6074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5003647
NC
364SR0400X
Rehabilitation Clinical Nurse Specialist
R0073024
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200080840A
OK
01
P00680790
PALMETTO GBA PROVIDER#
Enumeration date
05/03/2007
Last updated
04/07/2021
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