Provider Demographics
NPI:1154546232
Name:WINLEY, ADELL C (PA)
Entity type:Individual
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First Name:ADELL
Middle Name:C
Last Name:WINLEY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:12510 PROSPERITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1663
Mailing Address - Country:US
Mailing Address - Phone:240-485-5200
Mailing Address - Fax:301-625-6906
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-593-2002
Practice Address - Fax:301-593-4781
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2016-07-07
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Provider Licenses
StateLicense IDTaxonomies
MDC0001102363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant