Provider Demographics
NPI:1053943100
Name:WINSTON, ANREA L (APRN)
Entity type:Individual
Prefix:
First Name:ANREA
Middle Name:L
Last Name:WINSTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANREA
Other - Middle Name:L
Other - Last Name:SYKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5252 N MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2178
Mailing Address - Country:US
Mailing Address - Phone:405-754-5400
Mailing Address - Fax:
Practice Address - Street 1:5252 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2178
Practice Address - Country:US
Practice Address - Phone:405-702-8623
Practice Address - Fax:405-608-8800
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200903960AMedicaid