Provider Demographics
NPI:1437993508
Name:WINSTEAD, CHARLOTTE ELIZABETH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:ELIZABETH
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:CHARLOTTE
Other - Middle Name:ELIZABETH
Other - Last Name:WINSTEAD NUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1910 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-5438
Mailing Address - Country:US
Mailing Address - Phone:321-482-6117
Mailing Address - Fax:
Practice Address - Street 1:3450 11TH CT STE 105
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5012
Practice Address - Country:US
Practice Address - Phone:772-226-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190686363LA2100X
FLAPRN11041112363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care