Provider Demographics
NPI:1346430188
Name:WINSLOW, MICHELLE LYN (RN MSN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYN
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2919
Mailing Address - Country:US
Mailing Address - Phone:870-425-6901
Mailing Address - Fax:870-424-0903
Practice Address - Street 1:400 S COLLEGE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3923
Practice Address - Country:US
Practice Address - Phone:870-425-4551
Practice Address - Fax:870-508-2644
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR72023163WP0808X
ARAO1823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily