Provider Demographics
NPI:1083617898
Name:WINSTEAD, KAREN A (CNM, MSN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 LAKEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-2903
Mailing Address - Country:US
Mailing Address - Phone:540-489-4064
Mailing Address - Fax:
Practice Address - Street 1:180 LAKEWOOD CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-2903
Practice Address - Country:US
Practice Address - Phone:540-489-4064
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165842367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife