Healthcare Provider Details

I. General information

NPI: 1861340101
Provider Name (Legal Business Name): WINBORN MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9938 AIRLINE HWY
BATON ROUGE LA
70816-8100
US

IV. Provider business mailing address

24236 SNOWY EGRET CV
SPRINGFIELD LA
70462-8095
US

V. Phone/Fax

Practice location:
  • Phone: 225-936-5829
  • Fax: 985-781-4319
Mailing address:
  • Phone: 225-936-5829
  • Fax: 985-781-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: COLBY WINBORN
Title or Position: FNP
Credential: FNP
Phone: 225-936-5829