Provider Demographics
NPI:1023686656
Name:WINEGARNER, TRISHA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:WINEGARNER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E HIGHLAND MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3746
Mailing Address - Country:US
Mailing Address - Phone:512-320-1500
Mailing Address - Fax:
Practice Address - Street 1:408 W 45TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-3014
Practice Address - Country:US
Practice Address - Phone:512-320-1500
Practice Address - Fax:512-451-5800
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily