Provider Demographics
NPI:1457499196
Name:MCNAMARA, WINIFRED GAIL (ARNP)
Entity Type:Individual
Prefix:MS
First Name:WINIFRED
Middle Name:GAIL
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9213 MARSHALL RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:WA
Mailing Address - Zip Code:98232-9361
Mailing Address - Country:US
Mailing Address - Phone:360-766-6686
Mailing Address - Fax:360-766-6069
Practice Address - Street 1:9213 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:BOW
Practice Address - State:WA
Practice Address - Zip Code:98232-9361
Practice Address - Country:US
Practice Address - Phone:360-766-6686
Practice Address - Fax:360-766-6069
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000679163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9600420Medicaid