Provider Demographics
NPI:1700203445
Name:WINSTON, PERRI (NP)
Entity Type:Individual
Prefix:MRS
First Name:PERRI
Middle Name:
Last Name:WINSTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 BLOSSOM ST STE D
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4200
Mailing Address - Country:US
Mailing Address - Phone:832-905-5940
Mailing Address - Fax:832-905-5941
Practice Address - Street 1:450 BLOSSOM ST STE D
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4200
Practice Address - Country:US
Practice Address - Phone:832-905-5940
Practice Address - Fax:832-905-5941
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX548799363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner