Provider Demographics
NPI:1447038260
Name:WINFREY, JANICE ARLIENE (ARNP FNP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ARLIENE
Last Name:WINFREY
Suffix:
Gender:F
Credentials:ARNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18420 209TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-9272
Mailing Address - Country:US
Mailing Address - Phone:530-228-4586
Mailing Address - Fax:
Practice Address - Street 1:211 W HILL ST STE 9
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1460
Practice Address - Country:US
Practice Address - Phone:530-228-4586
Practice Address - Fax:949-695-4784
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61486295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily