Healthcare Provider Details

I. General information

NPI: 1164465183
Provider Name (Legal Business Name): RITA M WINTERS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 MARY ST STE 340
EVANSVILLE IN
47710
US

IV. Provider business mailing address

PO BOX 1510
EVANSVILLE IN
47706-1510
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-3201
  • Fax: 812-450-3395
Mailing address:
  • Phone: 812-450-3201
  • Fax: 812-450-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71001853A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71001853A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: