Provider Demographics
NPI:1568770691
Name:WINANS, GRETCHEN LEGLER (ARNP)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:LEGLER
Last Name:WINANS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:LEGLER
Other - Last Name:WINANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1000 W BROADWAY ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9260
Mailing Address - Country:US
Mailing Address - Phone:407-706-1650
Mailing Address - Fax:407-706-1651
Practice Address - Street 1:1000 W BROADWAY ST
Practice Address - Street 2:SUITE 205
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9260
Practice Address - Country:US
Practice Address - Phone:407-706-1650
Practice Address - Fax:407-706-1651
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9218954363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health