Healthcare Provider Details

I. General information

NPI: 1295228401
Provider Name (Legal Business Name): KATHRYN ANN WINSLOW RN, BS, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2018
Last Update Date: 06/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 NORTHWEST BLVD
NASHUA NH
03063-4068
US

IV. Provider business mailing address

8 PROSPECT ST
NASHUA NH
03060-3925
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-5760
  • Fax:
Mailing address:
  • Phone: 603-577-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number042301-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: