Winder, Alice Maxine

Winder, Alice Maxine is an individual health care provider with primary practice located at 606 Maple Valley Dr , Farmington MO 63640-1976. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Winder, Alice Maxine can be contacted via phone (573) 756-7779.

Contact Information

Primary practice address
606 Maple Valley Dr Farmington MO 63640-1976
Phone: (573) 756-7779
Fax: (573) 756-6914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 046941 Missouri

Profile Details

NPI number 1700870730
LBN Legal business name Winder, Alice Maxine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 22nd, 2011 - about 15 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 1700870730 NPPES
Missouri MEDICAID 425243516

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