Provider Demographics
NPI:1992031637
Name:SAEED WINN, SERENA (CNM, RN, WHNP)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:SAEED WINN
Suffix:
Gender:F
Credentials:CNM, RN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 MARKET ST
Mailing Address - Street 2:159
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1575
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2370 MARKET ST
Practice Address - Street 2:159
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1575
Practice Address - Country:US
Practice Address - Phone:415-552-6600
Practice Address - Fax:415-552-6680
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-31
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA708136163W00000X
CA19323363LW0102X
CA1869367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health