Provider Demographics
NPI:1174571657
Name:WINZER, ROBYN PAIGE (CRNA)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:PAIGE
Last Name:WINZER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:PAIGE
Other - Last Name:PENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3121 N WEBB RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-8119
Mailing Address - Country:US
Mailing Address - Phone:316-926-1313
Mailing Address - Fax:316-261-3275
Practice Address - Street 1:3121 N WEBB RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8119
Practice Address - Country:US
Practice Address - Phone:316-926-1313
Practice Address - Fax:316-261-3275
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-87466-061163W00000X
KS55542367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200419010AMedicaid
KS145391OtherBCBS
KS200419010AMedicaid