Healthcare Provider Details

I. General information

NPI: 1669385589
Provider Name (Legal Business Name): MARY CATHERINE WINTERS CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATIE WINTERS CNS

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 504
MORETOWN VT
05660-0504
US

IV. Provider business mailing address

66 DEANS MOUNTAIN RD
MORETOWN VT
05660-9430
US

V. Phone/Fax

Practice location:
  • Phone: 802-356-9687
  • Fax:
Mailing address:
  • Phone: 802-356-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number19170
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: