MEDICARE: CHRISTINA WINTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA3129	NV

General Provider Information

NPI Number	:	1558135079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA WINTERS

Provider Business Mailing Address
First Line	:	7240 SHENANDOAH SPRINGS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5512 S FORT APACHE RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-7677
Country	:	US
Telephone Number	:	725-339-3524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	12/30/2025

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Directions to “ CHRISTINA WINTERS ” Practice Location

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