Provider Demographics
NPI:1841924172
Name:WININGER, ALLISON PAIGE
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:PAIGE
Last Name:WININGER
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 1:1667 S 275 W
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:47424-5050
Mailing Address - Country:US
Mailing Address - Phone:812-381-4361
Mailing Address - Fax:
Practice Address - Street 1:1667 S 275 W
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:IN
Practice Address - Zip Code:47424-5050
Practice Address - Country:US
Practice Address - Phone:812-381-4361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
IN10004471A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant