Provider Demographics
NPI:1902073968
Name:HIX, WINIFRED LEA (NURSE PRACTITIONER N)
Entity Type:Individual
Prefix:MRS
First Name:WINIFRED
Middle Name:LEA
Last Name:HIX
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER N
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:700 CHILDRENS DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-722-6510
Mailing Address - Fax:614-722-4772
Practice Address - Street 1:5100 WEST BROAD STREET
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-544-1075
Practice Address - Fax:614-544-1718
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.08789363LN0000X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0190036Medicaid