Provider Demographics
NPI:1033963632
Name:WINTER-JAMES, MAEGAN JANE
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:JANE
Last Name:WINTER-JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAEGAN
Other - Middle Name:JANE
Other - Last Name:WINTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:153 N U ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-2438
Mailing Address - Country:US
Mailing Address - Phone:559-445-9094
Mailing Address - Fax:559-445-9094
Practice Address - Street 1:153 N U ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2438
Practice Address - Country:US
Practice Address - Phone:559-445-9094
Practice Address - Fax:559-445-9083
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker