Provider Demographics
NPI:1003351958
Name:WINFIELD, ALICIA (RN, MSN, CDE)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:RN, MSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FOUNDATION WAY
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-9003
Mailing Address - Country:US
Mailing Address - Phone:304-596-6839
Mailing Address - Fax:304-596-5799
Practice Address - Street 1:2000 FOUNDATION WAY
Practice Address - Street 2:SUITE 3800
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9003
Practice Address - Country:US
Practice Address - Phone:304-596-6839
Practice Address - Fax:304-596-5799
Is Sole Proprietor?:No
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV023261163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator