Basic Information
| Provider Information | |||||||||
| NPI: | 1194191973 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WINT | ||||||||
| FirstName: | ESTHER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 43 E MORNINGSIDE ST | ||||||||
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| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061121241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602098346 | ||||||||
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| Practice Location | |||||||||
| Address1: | 490 BLUE AVE | ||||||||
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| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605222251 | ||||||||
| FaxNumber: | 8604932552 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2015 | ||||||||
| LastUpdateDate: | 08/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 12.006244 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.