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NPI Code Detail

MEDICARE: MALINDA WINTERS CFNP

MEDICARE: MALINDA WINTERS CFNP
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 Practitioner08672OH

General Provider Information

NPI Number : 1699987396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALINDA WINTERS CFNP
Provider Business Mailing Address
First Line : 26150 BRIARDALE AVE
Second Line :
City : EUCLID
State : OH
Zip : 44132-2310
Country : US
Telephone Number : 330-274-2272
Fax Number : 330-732-2484
Provider Business Practice Location Address
First Line : 9772 DIAGONAL RD
Second Line :
City : MANTUA
State : OH
Zip : 44255-9128
Country : US
Telephone Number : 330-274-2272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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