Provider Demographics
NPI:1114632023
Name:WINSTON, GABRIEL
Entity Type:Individual
Prefix:MS
First Name:GABRIEL
Middle Name:
Last Name:WINSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4261 KINGS VALLEY CV E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-1454
Mailing Address - Country:US
Mailing Address - Phone:901-462-5542
Mailing Address - Fax:
Practice Address - Street 1:4261 KINGS VALLEY CV E
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-1454
Practice Address - Country:US
Practice Address - Phone:901-462-5542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health