Provider Demographics
NPI:1447622071
Name:WINDER, HEATHER
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:WINDER
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 1:28538 DUPONT BLVD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4791
Mailing Address - Country:US
Mailing Address - Phone:302-829-3294
Mailing Address - Fax:302-829-3295
Practice Address - Street 1:28538 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4791
Practice Address - Country:US
Practice Address - Phone:302-829-3294
Practice Address - Fax:302-829-3295
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10039315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse