Provider Demographics
NPI:1033349295
Name:WINCE, ULAND T (RN)
Entity Type:Individual
Prefix:MR
First Name:ULAND
Middle Name:T
Last Name:WINCE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-5763
Mailing Address - Country:US
Mailing Address - Phone:662-255-5451
Mailing Address - Fax:
Practice Address - Street 1:150 N RIDGE DR
Practice Address - Street 2:
Practice Address - City:SALTILLO
Practice Address - State:MS
Practice Address - Zip Code:38866-5763
Practice Address - Country:US
Practice Address - Phone:662-255-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO133531163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse