Doctor Name: | SARI JAYNE WINANS |
NPI Number: | 1649677402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 95001585 |
Business Practice Address: | 697 W Tefft St Nipomo, CA - 934449190 |
Business Phone Number: | 8059292272 |
Business Fax Number: | 8059296405 |
Mailing Address: | 504 Plaza Dr, SANTA MARIA |
State: | CA |
Postal Code: | 934546917 |
Phone Number: | 8057393474 |
Fax Number: | 8053463548 |
NPI Enumeration Date: | 11/21/2014 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 95001585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |