Provider Demographics
NPI:1639933369
Name:WINSTEAD, CAMILLE BRIDGETTE (AGNP)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:BRIDGETTE
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 JAMES TOWN DR
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-0039
Mailing Address - Country:US
Mailing Address - Phone:252-714-8966
Mailing Address - Fax:
Practice Address - Street 1:101 CABARRUS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025
Practice Address - Country:US
Practice Address - Phone:855-743-2247
Practice Address - Fax:855-857-7333
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019626363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care