Provider Demographics
NPI:1922881879
Name:WINTER, EMILY LAUREN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:LAUREN
Last Name:WINTER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:29150 LAKE FOREST BLVD APT 1002
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7497
Mailing Address - Country:US
Mailing Address - Phone:225-408-9036
Mailing Address - Fax:
Practice Address - Street 1:5 MOBILE INFIRMARY CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3513
Practice Address - Country:US
Practice Address - Phone:251-435-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-10-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant