Provider Demographics
NPI:1659994150
Name:WINFORD, VERNICIA (CNM)
Entity Type:Individual
Prefix:
First Name:VERNICIA
Middle Name:
Last Name:WINFORD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 SPRINGDALE LN APT J103
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-1900
Mailing Address - Country:US
Mailing Address - Phone:615-481-1940
Mailing Address - Fax:
Practice Address - Street 1:6890 GREENSBORO RD
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:VA
Practice Address - Zip Code:24148-3555
Practice Address - Country:US
Practice Address - Phone:276-956-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179302367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife