Provider Demographics
NPI:1922508811
Name:WINSON, MELINDA FLORES (BSN RN)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:FLORES
Last Name:WINSON
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 DEERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9171
Mailing Address - Country:US
Mailing Address - Phone:281-732-5470
Mailing Address - Fax:
Practice Address - Street 1:3630 DEERBROOK CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9171
Practice Address - Country:US
Practice Address - Phone:281-732-5470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX765059163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics