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General NPI Number Information
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NPI Number | 1043166101
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Entity Type | Individual
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Provider Name | ESTEFANNY MARIELLA WINTON MSN, ED, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 61 THOMAS JOHNSON DR
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City | FREDERICK
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State | MD
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Zip | 21702-4301
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Country | US
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Telephone | 204-916-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 9431 CARRIAGE HILL ST
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City | FREDERICK
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State | MD
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Zip | 21704-7347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R232834
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License Number State | MD
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