Winter, Tina A
Winter, Tina A is an sole proprietor health care provider with primary practice located at 2090 Vadalabene Dr , Maryville IL 62062-5841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Winter, Tina A can be contacted via phone (618) 288-5430.Contact Information
Primary practice address
2090 Vadalabene Dr
Maryville IL 62062-5841
Phone: (618) 288-5430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2021022247 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209023356 | Illinois |
Profile Details
| NPI number | 1922676675 |
|---|---|
| LBN Legal business name | Winter, Tina A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2021 |
| Last updated | Dec 19th, 2023 - about 2 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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