Provider Demographics
NPI:1770377822
Name:WINCHESTER, BREANNA
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:WINCHESTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 MOUNDCREST DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1718
Mailing Address - Country:US
Mailing Address - Phone:513-801-9202
Mailing Address - Fax:
Practice Address - Street 1:9156 CUMMINGS FARM LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4655
Practice Address - Country:US
Practice Address - Phone:513-801-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide