Doctor Name: | MS. OLIVIA WINTERS |
NPI Number: | 1568844652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 2015016105 |
Business Practice Address: | 1515 N Warson Rd Suite 241 Olivette, MO - 631321111 |
Business Phone Number: | 3148851294 |
Business Fax Number: | |
Mailing Address: | 1515 N Warson Rd, Suite 241 OLIVETTE |
State: | MO |
Postal Code: | 631321111 |
Phone Number: | 3148851294 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 07/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 2015016105 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |