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NPI Code Detail

MEDICARE: MARY C WINSHIP CNP

MEDICARE: MARY C WINSHIP CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0400XRehabilitation Registered NurseRN131921OH
2363LA2200XAdult Health Nurse Practitioner05993OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00706002OTHEROHRRCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184670390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY C WINSHIP CNP
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-6976
Fax Number : 216-635-6428
Provider Business Practice Location Address
First Line : 33355 HEALTH CAMPUS BLVD
Second Line :
City : AVON
State : OH
Zip : 44011-1399
Country : US
Telephone Number : 440-937-9099
Fax Number : 440-937-9755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 10/11/2021

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