Provider Demographics
NPI:1316535990
Name:WINTERMAN, AMY ANNE (RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ANNE
Last Name:WINTERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CARMEN DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5408
Mailing Address - Country:US
Mailing Address - Phone:845-240-4652
Mailing Address - Fax:
Practice Address - Street 1:15 CARMEN DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-5408
Practice Address - Country:US
Practice Address - Phone:845-240-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY723042163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse