Provider Demographics
NPI:1336508829
Name:WINTON, AMANDA (FNP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:WINTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N OREGON ST STE 710
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3583
Mailing Address - Country:US
Mailing Address - Phone:915-225-4470
Mailing Address - Fax:915-533-8055
Practice Address - Street 1:1700 N OREGON ST STE 710
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3583
Practice Address - Country:US
Practice Address - Phone:915-225-4470
Practice Address - Fax:915-533-8055
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0216607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily