Provider Demographics
NPI:1386018851
Name:WINBUSH, GARNISA
Entity Type:Individual
Prefix:
First Name:GARNISA
Middle Name:
Last Name:WINBUSH
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 1:800 COMPTON RD UNIT 27
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3850
Mailing Address - Country:US
Mailing Address - Phone:513-452-5008
Mailing Address - Fax:
Practice Address - Street 1:800 COMPTON RD UNIT 27
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3850
Practice Address - Country:US
Practice Address - Phone:513-687-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-21
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.147415-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse