Provider Demographics
NPI:1003244096
Name:WINTER, ERIN (NMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N HUMPHREYS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-4506
Mailing Address - Country:US
Mailing Address - Phone:928-440-3279
Mailing Address - Fax:833-787-5620
Practice Address - Street 1:409 N HUMPHREYS ST STE 103
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-4506
Practice Address - Country:US
Practice Address - Phone:928-440-3279
Practice Address - Fax:833-787-5620
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13-1379175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath