Provider Demographics
NPI:1396084687
Name:WINSLOW, TAMELA S (LPN)
Entity type:Individual
Prefix:MS
First Name:TAMELA
Middle Name:S
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3583 CLAY BRICK RD
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:FL
Mailing Address - Zip Code:34773-6061
Mailing Address - Country:US
Mailing Address - Phone:407-791-2662
Mailing Address - Fax:
Practice Address - Street 1:3583 CLAY BRICK RD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:FL
Practice Address - Zip Code:34773-6061
Practice Address - Country:US
Practice Address - Phone:407-791-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5189797164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse