Healthcare Provider Details

I. General information

NPI: 1083617898
Provider Name (Legal Business Name): KAREN A. WINSTEAD CNM, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 LAKEWOOD CT
ROCKY MOUNT VA
24151-2903
US

IV. Provider business mailing address

180 LAKEWOOD CT
ROCKY MOUNT VA
24151-2903
US

V. Phone/Fax

Practice location:
  • Phone: 540-489-4064
  • Fax:
Mailing address:
  • Phone: 540-489-4064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024165842
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: