Provider Demographics
NPI:1477238004
Name:WINNER, KAREL (NP)
Entity type:Individual
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First Name:KAREL
Middle Name:
Last Name:WINNER
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Gender:M
Credentials:NP
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Mailing Address - Street 1:30 N GOULD ST STE 37540
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-6317
Mailing Address - Country:US
Mailing Address - Phone:800-303-3221
Mailing Address - Fax:541-508-4525
Practice Address - Street 1:1223 CLEVELAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3301
Practice Address - Country:US
Practice Address - Phone:800-303-3221
Practice Address - Fax:541-508-4525
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2025-08-21
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Provider Licenses
StateLicense IDTaxonomies
NM74390363LP0808X
NY406278363LP0808X
OR10004815363LP0808X
UT13394048-4405363LP0808X
CA95026404363LP0808X
AZ295525363LP0808X
DEL8-0010673363LP0808X
COC-RXN-0102363363LP0808X
HI4145363LP0808X
ID76812363LP0808X
IAG175279363LP0808X
KS53-82495-102363LP0808X
KY4027340363LP0808X
MT217178363LP0808X
NV869882363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty