Provider Demographics
NPI:1477017119
Name:WINANS, KAYLA (RN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:WINANS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 VAUCLUSE DR APT 97
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-7486
Mailing Address - Country:US
Mailing Address - Phone:810-399-9490
Mailing Address - Fax:
Practice Address - Street 1:3716 VAUCLUSE DR APT 97
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-7486
Practice Address - Country:US
Practice Address - Phone:810-399-9490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX959096163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse