Winsted, Beverly Diane
Winsted, Beverly Diane is an individual health care provider with primary practice located at 4692 Brownsboro Road , Winston - Salem NC 27106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Winsted, Beverly Diane can be contacted via phone (336) 251-1114.Contact Information
Primary practice address
4692 Brownsboro Road
Winston - Salem NC 27106
Phone: (336) 251-1114
Fax: (336) 251-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 100815 | North Carolina |
Profile Details
| NPI number | 1134196934 |
|---|---|
| LBN Legal business name | Winsted, Beverly Diane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Sep 7th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134196934 | NPPES |
| North Carolina | Other | R77292 | UHC |
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