Provider Demographics
NPI:1245219401
Name:WINBOURN, MARGARET M (APRN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:WINBOURN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-0919
Mailing Address - Country:US
Mailing Address - Phone:864-897-8280
Mailing Address - Fax:864-897-8281
Practice Address - Street 1:111 W ROPER RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-8805
Practice Address - Country:US
Practice Address - Phone:864-897-8280
Practice Address - Fax:864-897-8281
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN1495363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAPN1495Medicaid
SCGP4560Medicaid
AA21235664Medicare PIN
AA2123Medicare UPIN