Individual
KEITH T WINFREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C
Contact information
Practice address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Mailing address
1407 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-6203
(615) 444-6252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33495731
—
TN
01
—
4121917
BCBS
TN
01
—
6896
TN ADVANCED PRACTICE NURS
TN
01
—
98357
TN REGISTERED NURSE
TN
Enumeration date
09/11/2007
Last updated
04/10/2008
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