Provider Demographics
NPI:1861803330
Name:WINN, AUBREY (MD)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:
Last Name:WINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WALTER REED NMMC GRADUATE MEDICAL
Mailing Address - Street 2:8901 ROCKVILLE PIKE, BLDG 1, 19TH FLOOR, RM 19122
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5600
Mailing Address - Country:US
Mailing Address - Phone:301-319-8278
Mailing Address - Fax:
Practice Address - Street 1:9781 BLUE LARKSPUR LN
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6509
Practice Address - Country:US
Practice Address - Phone:831-333-9008
Practice Address - Fax:831-333-9010
Is Sole Proprietor?:No
Enumeration Date:2014-05-18
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61422430207N00000X, 207ND0101X
CAA178569207ND0101X, 207N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program