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NPI Code Detail

MEDICARE: CATHLEEN MARIE WINTER RDN, LDN, CNSC

MEDICARE: CATHLEEN MARIE WINTER RDN, LDN, CNSC
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
1133V00000XRegistered DietitianD00944MD
2133VN1006XMetabolic Nutrition Registered Dietitian1015549MD

General Provider Information

NPI Number : 1932431814
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN MARIE WINTER RDN, LDN, CNSC
Provider Business Mailing Address
First Line : 694 E WATERSVILLE RD
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-3521
Country : US
Telephone Number : 410-489-9355
Fax Number :
Provider Business Practice Location Address
First Line : 694 E WATERSVILLE RD
Second Line :
City : MOUNT AIRY
State : MD
Zip : 21771-3521
Country : US
Telephone Number : 410-489-9355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2010
Last Update Date : 04/01/2020

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