Winegardner, Mary F

Winegardner, Mary F is an individual health care provider with primary practice located at 507 Main Ave , Clear Lake IA 50428-1828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Winegardner, Mary F can be contacted via phone (641) 357-4325.

Contact Information

Primary practice address
507 Main Ave Clear Lake IA 50428-1828
Phone: (641) 357-4325
Fax: (641) 357-1295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9964 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 722 Iowa

Profile Details

NPI number 1306826821
LBN Legal business name Winegardner, Mary F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306826821 NPPES
Minnesota MEDICAID 173478400

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