Provider Demographics
NPI:1851491906
Name:WINEGARNER, HELEN (FNP)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:WINEGARNER
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 1:446 NORTH AVE
Mailing Address - Street 2:PO BOX 501
Mailing Address - City:CHALLIS
Mailing Address - State:ID
Mailing Address - Zip Code:83226
Mailing Address - Country:US
Mailing Address - Phone:208-879-6592
Mailing Address - Fax:
Practice Address - Street 1:1 CLINIC RD
Practice Address - Street 2:
Practice Address - City:CHALLIS
Practice Address - State:ID
Practice Address - Zip Code:83226
Practice Address - Country:US
Practice Address - Phone:208-879-4351
Practice Address - Fax:208-879-5216
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-605A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily