Doctor Name: | PAMELA S WINSTON |
NPI Number: | 1447546452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP06506 |
Business Practice Address: | 1003 Fred Lagrone Dr Crossett, AR - 716354546 |
Business Phone Number: | 8703640514 |
Business Fax Number: | 8703643811 |
Mailing Address: | 1003 Fred Lagrone Dr, CROSSETT |
State: | AR |
Postal Code: | 716354546 |
Phone Number: | 8703640514 |
Fax Number: | 8703643811 |
NPI Enumeration Date: | 06/28/2011 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP06506 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |