Provider Demographics
NPI:1063444552
Name:WINETT, EMILY (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WINETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 W UTOPIA RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4171
Mailing Address - Country:US
Mailing Address - Phone:602-214-6148
Mailing Address - Fax:602-214-6149
Practice Address - Street 1:3648 W ANTHEM WAY
Practice Address - Street 2:BLDG A100
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-7001
Practice Address - Country:US
Practice Address - Phone:623-434-6444
Practice Address - Fax:623-434-6448
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2013-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ34995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ139863Medicare PIN