Provider Demographics
NPI:1427265115
Name:WINKFIELD, DEVORA RENEE (CRNP)
Entity type:Individual
Prefix:MS
First Name:DEVORA
Middle Name:RENEE
Last Name:WINKFIELD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:DEVORA
Other - Middle Name:RENEE
Other - Last Name:SAMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1220 12TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3722
Mailing Address - Country:US
Mailing Address - Phone:202-715-7949
Mailing Address - Fax:202-544-2714
Practice Address - Street 1:765 KENILWORTH TER NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1898
Practice Address - Country:US
Practice Address - Phone:202-388-8160
Practice Address - Fax:202-388-8746
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR127475363L00000X
DCRN61107363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC003254M72Medicare UPIN
MD082NS206Medicare UPIN