Healthcare Provider Details

I. General information

NPI: 1639993959
Provider Name (Legal Business Name): KATLIN WINEMILLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATLIN WEINKOETZ

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N WEST VIEW DR
OSCEOLA IA
50213-8267
US

IV. Provider business mailing address

2186 240TH AVE
MOUNT AYR IA
50854-8950
US

V. Phone/Fax

Practice location:
  • Phone: 641-342-6061
  • Fax:
Mailing address:
  • Phone: 641-202-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA177277
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA177277
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: