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NPI Code Detail

MEDICARE: HEATHER CORBETT WINKLER APRN

MEDICARE: HEATHER CORBETT WINKLER APRN
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
1363LF0000XFamily Nurse Practitioner11006003FL

General Provider Information

NPI Number : 1972135812
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER CORBETT WINKLER APRN
Provider Business Mailing Address
First Line : 334 E HILLCREST ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-7734
Country : US
Telephone Number : 904-540-1406
Fax Number :
Provider Business Practice Location Address
First Line : 712 W 25TH ST
Second Line :
City : SANFORD
State : FL
Zip : 32771-4232
Country : US
Telephone Number : 904-540-1406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2020
Last Update Date : 02/09/2020

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