Healthcare Provider Details

I. General information

NPI: 1699335356
Provider Name (Legal Business Name): NICOLE FROHLICH WINBERG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2019
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 GULF SHORES PKWY STE A
GULF SHORES AL
36542-5914
US

IV. Provider business mailing address

1140 GULF SHORES PKWY STE A
GULF SHORES AL
36542-5914
US

V. Phone/Fax

Practice location:
  • Phone: 251-651-6550
  • Fax: 251-651-6511
Mailing address:
  • Phone: 251-651-6550
  • Fax: 251-651-6511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-144092
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: