Provider Demographics
NPI:1801158084
Name:WINANS, NATALIE M
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:WINANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 VESTAL PARKWAY
Mailing Address - Street 2:EAST BINGHAMTON UNIVERSITY
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13902
Mailing Address - Country:US
Mailing Address - Phone:607-777-2829
Mailing Address - Fax:
Practice Address - Street 1:4400 VESTAL PARKWAY
Practice Address - Street 2:EAST BINGHAMTON UNIVERSITY
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13902
Practice Address - Country:US
Practice Address - Phone:607-777-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1100657174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist