Provider Demographics
NPI:1811971112
Name:TE WINKEL, MIHAELA DUMITRU (NP (ACNP))
Entity type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:DUMITRU
Last Name:TE WINKEL
Suffix:
Gender:F
Credentials:NP (ACNP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WILLOW TRACE CIR
Mailing Address - Street 2:APARTAMENT # 3
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8806
Mailing Address - Country:US
Mailing Address - Phone:336-766-3099
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER BOULEVARD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC960065363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNP 960065OtherNP CERTIFICATE REGISTRATI
NCRN 198968OtherRN LICENSE IN NC
NCRN 198968OtherRN LICENSE IN NC
NCRN 198968OtherRN LICENSE IN NC
NC2592368Medicare ID - Type UnspecifiedPROVIDER NUMBER