Provider Demographics
NPI:1639993959
Name:WINEMILLER, KATLIN (FNP)
Entity type:Individual
Prefix:
First Name:KATLIN
Middle Name:
Last Name:WINEMILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KATLIN
Other - Middle Name:
Other - Last Name:WEINKOETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2186 240TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT AYR
Mailing Address - State:IA
Mailing Address - Zip Code:50854-8950
Mailing Address - Country:US
Mailing Address - Phone:641-202-4648
Mailing Address - Fax:
Practice Address - Street 1:444 N WEST VIEW DR
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:IA
Practice Address - Zip Code:50213-8267
Practice Address - Country:US
Practice Address - Phone:641-342-6061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA177277363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily