Healthcare Provider Details

I. General information

NPI: 1538063854
Provider Name (Legal Business Name): WINN INTEGRATED HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18100 COUNTY ROAD 1310
ANADARKO OK
73005-2052
US

IV. Provider business mailing address

18100 COUNTY ROAD 1310
ANADARKO OK
73005-2052
US

V. Phone/Fax

Practice location:
  • Phone: 405-814-1212
  • Fax: 405-337-9586
Mailing address:
  • Phone: 405-814-1212
  • Fax: 405-337-9586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BEVERLY WINN
Title or Position: MANAGING MEMBER
Credential: DNP, PMHNP-BC, FNP-C
Phone: 405-247-1906