MEDICARE: WINTER LAUREN SEWARD-DIXON FNP-C

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
1	363LP2300X	Primary Care Nurse Practitioner	0024175663	VA
2	363LF0000X	Family Nurse Practitioner	0024175663	VA

General Provider Information

NPI Number	:	1477067288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINTER LAUREN SEWARD-DIXON FNP-C

Provider Business Mailing Address
First Line	:	1328 E PEMBROKE AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-2445
Country	:	US
Telephone Number	:	757-576-9138
Fax Number	:	833-301-0790

Provider Business Practice Location Address
First Line	:	1328 E PEMBROKE AVE
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-2445
Country	:	US
Telephone Number	:	757-904-3319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2017
Last Update Date	:	04/11/2024

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