Provider Demographics
NPI:1255090445
Name:WINFREY, EMILY COLE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:COLE
Last Name:WINFREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 STATE HIGHWAY M
Mailing Address - Street 2:
Mailing Address - City:NIANGUA
Mailing Address - State:MO
Mailing Address - Zip Code:65713-8300
Mailing Address - Country:US
Mailing Address - Phone:417-942-7145
Mailing Address - Fax:
Practice Address - Street 1:596 STATE HIGHWAY M
Practice Address - Street 2:
Practice Address - City:NIANGUA
Practice Address - State:MO
Practice Address - Zip Code:65713-8300
Practice Address - Country:US
Practice Address - Phone:417-942-7145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program