MEDICARE: STEPHANIE WINTER PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP10450	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1619429529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE WINTER PMHNP-BC

Provider Business Mailing Address
First Line	:	16042 N 32ND ST STE A4
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-0024
Country	:	US
Telephone Number	:	623-512-8741
Fax Number	:	623-512-8741

Provider Business Practice Location Address
First Line	:	16042 N 32ND ST STE A4
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-0024
Country	:	US
Telephone Number	:	623-512-8741
Fax Number	:

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

Provider Enumeration Date	:	10/26/2016
Last Update Date	:	12/18/2025

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