Provider Demographics
NPI:1699841536
Name:WINNIE, JANET REYNOLDS (APRN, FNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:REYNOLDS
Last Name:WINNIE
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 S TRACY AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715
Mailing Address - Country:US
Mailing Address - Phone:406-582-0779
Mailing Address - Fax:
Practice Address - Street 1:7TH AVE AND GRANT ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717-3260
Practice Address - Country:US
Practice Address - Phone:406-994-2311
Practice Address - Fax:406-994-2504
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT22621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily