Most Relevant Information
Provider Data
| NPI Number: | 1003470089 |
| Provider Name: | REBECCA VAN WINKLE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1629468 |
Most Important Dates
| Enumeration Date: | 04/25/2019 |
| Last Updated: | 04/25/2019 |
Provider Practice Location
4102 PINION DR
US AIR FORCE
CO
808402502
Practice Location Phone/Fax
| Phone: | 7194407339 |
| Fax: |
Provider Mailing Location
19945 W TOP O THE MOOR DR
MONUMENT
CO
801329324
Provider Mailing Phone/Fax
| Phone: | 7194407339 |
| Fax: |