Provider Demographics
NPI:1730251208
Name:WINT, DIANA ANNMARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:ANNMARIE
Last Name:WINT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 360158
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-0158
Mailing Address - Country:US
Mailing Address - Phone:718-926-6335
Mailing Address - Fax:347-275-2035
Practice Address - Street 1:210 W 139TH ST
Practice Address - Street 2:BASEMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-2109
Practice Address - Country:US
Practice Address - Phone:718-926-6335
Practice Address - Fax:347-275-2035
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY334866363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily