Provider Demographics
NPI:1548851314
Name:WINOGRAD, ALISON WEINER (FNP-C, APRN-CNP, RN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:WEINER
Last Name:WINOGRAD
Suffix:
Gender:F
Credentials:FNP-C, APRN-CNP, RN
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ESTHER
Other - Last Name:WEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25723 OLD FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-6605
Mailing Address - Country:US
Mailing Address - Phone:210-450-6800
Mailing Address - Fax:210-450-6801
Practice Address - Street 1:25723 OLD FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-6605
Practice Address - Country:US
Practice Address - Phone:210-450-6800
Practice Address - Fax:210-450-6801
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1023089363LF0000X
TX989875163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse