MEDICARE: FALISHA SALINA WINTERS 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	363L00000X	Nurse Practitioner	5011768	NC
2	363LF0000X	Family Nurse Practitioner	5011768	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5011768	OTHER	NC	APPROVAL NUMBER

General Provider Information

NPI Number	:	1699331819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALISHA SALINA WINTERS FNP-C

Provider Business Mailing Address
First Line	:	4534 RAEFORD RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3230
Country	:	US
Telephone Number	:	910-748-0271
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 ROBESON ST STE 210
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5520
Country	:	US
Telephone Number	:	910-615-1826
Fax Number	:	910-615-9887

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	02/06/2026

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