| Doctor Name: | SUSAN WINEGARDNER |
| NPI Number: | 1023422342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 53-76317-091 |
| Business Practice Address: | 2820 E Rock Haven Rd Ste 100 Harrisonville, MO - 647014413 |
| Business Phone Number: | 8163803582 |
| Business Fax Number: | 8163806964 |
| Mailing Address: | 1550 Brompton Ln, RAYMORE |
| State: | MO |
| Postal Code: | 640838616 |
| Phone Number: | 6606791301 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2014 |
| NPI Last Update Date: | 07/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53-76317-091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |