| Doctor Name: | MRS. RIMMA FAINA WINNICK |
| NPI Number: | 1205021466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | R137948-4 |
| Business Practice Address: | 20555 Ingersoll Ave N Forest Lake, MN - 550259782 |
| Business Phone Number: | 6514640267 |
| Business Fax Number: | |
| Mailing Address: | Po Box 151, FOREST LAKE |
| State: | MN |
| Postal Code: | 550250151 |
| Phone Number: | 6514640267 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 08/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R137948-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |