Provider Demographics
NPI:1609332444
Name:WINKFIELD, SAMETRIS (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SAMETRIS
Middle Name:
Last Name:WINKFIELD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 VICTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30054-4177
Mailing Address - Country:US
Mailing Address - Phone:404-578-1314
Mailing Address - Fax:
Practice Address - Street 1:355 VICTORIA BLVD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:GA
Practice Address - Zip Code:30054-4177
Practice Address - Country:US
Practice Address - Phone:404-578-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN080929164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse