Doctor Name: | MARLYS JULIA WINGE |
NPI Number: | 1285765651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 10579 P |
Business Practice Address: | 4043 Estate La Grande Princesse Christiansted, VI - 008200000 |
Business Phone Number: | 3407181092 |
Business Fax Number: | 3407181090 |
Mailing Address: | 417 Hannahs Rst, FREDERIKSTED |
State: | VI |
Postal Code: | 008403668 |
Phone Number: | 3402445869 |
Fax Number: | 3407181092 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 10579 P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |