Provider Demographics
NPI:1265148761
Name:WINTON, CHRISTINA MISHELLE (CPM)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MISHELLE
Last Name:WINTON
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WASHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:HORATIO
Mailing Address - State:AR
Mailing Address - Zip Code:71842-8886
Mailing Address - Country:US
Mailing Address - Phone:870-582-4803
Mailing Address - Fax:870-606-2574
Practice Address - Street 1:101 WASHINGTON DR
Practice Address - Street 2:
Practice Address - City:HORATIO
Practice Address - State:AR
Practice Address - Zip Code:71842-8886
Practice Address - Country:US
Practice Address - Phone:870-582-4803
Practice Address - Fax:870-606-2574
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99505176B00000X
AR012021175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No176B00000XOther Service ProvidersMidwife