Provider Demographics
NPI:1487396040
Name:WINFIELD, ANGELINA ELOCILE (CNM)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:ELOCILE
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1914 NE 90TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9187
Mailing Address - Country:US
Mailing Address - Phone:843-906-2612
Mailing Address - Fax:
Practice Address - Street 1:1914 NE 90TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-9187
Practice Address - Country:US
Practice Address - Phone:843-906-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61132612367A00000X
OR10016261367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife