MEDICARE: ANABEL WINIECKI PMHNP

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	101Y00000X	Counselor	630674	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	926691	TX

General Provider Information

NPI Number	:	1598136574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANABEL WINIECKI PMHNP

Provider Business Mailing Address
First Line	:	9120 N. TARRANT PKWY
Second Line	:	STE. 120 #8003
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-2308
Country	:	US
Telephone Number	:	817-396-8245
Fax Number	:

Provider Business Practice Location Address
First Line	:	9120 N. TARRANT PKWY
Second Line	:	STE. 120 #8003
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-2308
Country	:	US
Telephone Number	:	817-396-8245
Fax Number	:

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	09/24/2024

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