Healthcare Provider Details

I. General information

NPI: 1780831651
Provider Name (Legal Business Name): KATHERINE MARIE WINTER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 VALLEY HEALTH WAY # 300
FRONT ROYAL VA
22630-6480
US

IV. Provider business mailing address

351 VALLEY HEALTH WAY # 300
FRONT ROYAL VA
22630-6480
US

V. Phone/Fax

Practice location:
  • Phone: 540-631-3700
  • Fax:
Mailing address:
  • Phone: 540-631-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024167938
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: