Female

Glenda D. Winchester ANP

Nurse Practitioner in Apex, NC(View on Map)

Full Name

Glenda Dean Winchester ANP

NPI Number

1952513012

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/03/2007

Specialties

(Taxonomies)

Code

363L00000X
364SR0400X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina
Oklahoma

License Number

5003647
R0073024

Contact
Information

Purpose

Mailing
Location

Address

7431 114TH AVE STE 104
911 S HUGHES ST

City

Largo
Apex

State

FL
NC

Postal Code

33773-5119
27502-7731

Country

US
US

Telephone Number

(800) 632-6074
(919) 363-6011

Identifiers

Identifier

P00680790
200080840A

Identifier State

Unknown
OK

Identifier Issuer

PALMETTO GBA PROVIDER#
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/07/2021

Provider Address

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