Provider Demographics
NPI:1457486441
Name:WINSOR, MELISSA (CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:WINSOR
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 WHITEHALL POINTE
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-2653
Mailing Address - Country:US
Mailing Address - Phone:770-851-4144
Mailing Address - Fax:770-393-1529
Practice Address - Street 1:1120 WHITEHALL POINTE
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-2653
Practice Address - Country:US
Practice Address - Phone:770-851-4144
Practice Address - Fax:770-393-1529
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN110439163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant