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NPI Code Detail

MEDICARE: PROF. CHRISTIE NICOLE WINFREY FNP

MEDICARE: PROF. CHRISTIE NICOLE WINFREY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner723667TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner723667TX
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP119173TX

General Provider Information

NPI Number : 1235426172
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. CHRISTIE NICOLE WINFREY FNP
Provider Business Mailing Address
First Line : 3250 MEDICAL CENTER DR
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4627
Country : US
Telephone Number : 409-813-1765
Fax Number : 409-813-1875
Provider Business Practice Location Address
First Line : 3250 MEDICAL CENTER DR
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-4627
Country : US
Telephone Number : 409-813-1765
Fax Number : 409-813-1875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 08/30/2022

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