MEDICARE: HEATHER DAWN WINDER C-NP

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
1	363LF0000X	Family Nurse Practitioner	F10230581	OH

General Provider Information

NPI Number	:	1356123723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DAWN WINDER C-NP

Provider Business Mailing Address
First Line	:	230 MEDICAL CENTER DR
Second Line	:
City	:	SEAMAN
State	:	OH
Zip	:	45679-8002
Country	:	US
Telephone Number	:	937-386-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 STATE ROUTE 41
Second Line	:
City	:	WEST UNION
State	:	OH
Zip	:	45693-8806
Country	:	US
Telephone Number	:	937-550-3657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	10/19/2023

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