Provider Demographics
NPI:1073952990
Name:WINDER, STEPHANIE MARIE (MSN, FNP-C, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARIE
Last Name:WINDER
Suffix:
Gender:F
Credentials:MSN, FNP-C, WHNP-BC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MARIE WINDER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2830 VICTORY PKWY
Mailing Address - Street 2:PAYOR ENROLLMENT
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1785
Mailing Address - Country:US
Mailing Address - Phone:513-585-5507
Mailing Address - Fax:
Practice Address - Street 1:3440 BURNET AVE STE 300
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2843
Practice Address - Country:US
Practice Address - Phone:513-803-6000
Practice Address - Fax:513-803-6931
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14464-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH209021Medicare PIN