Healthcare Provider Details

I. General information

NPI: 1619429529
Provider Name (Legal Business Name): STEPHANIE WINTER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16042 N 32ND ST STE A4
PHOENIX AZ
85032-0024
US

IV. Provider business mailing address

16042 N 32ND ST STE A4
PHOENIX AZ
85032-0024
US

V. Phone/Fax

Practice location:
  • Phone: 623-512-8741
  • Fax:
Mailing address:
  • Phone: 623-512-8741
  • Fax: 623-512-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP10450
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: