Individual
TAESHA CYBILLE NICOLE WINFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-2320
(870) 423-7431
Mailing address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-2320
(870) 423-7431
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
2014003272
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
A004246
AR
Other
Enumeration date
02/28/2014
Last updated
09/18/2024
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