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Individual

ELLENMARY WINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
353 BROOKVILLE AVE, ISLIP, NY 11751-1112
(631) 374-6137

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
303936
NY

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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