Provider Demographics
NPI:1063020642
Name:WINTHER, ALMA MATUGAS (NP)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:MATUGAS
Last Name:WINTHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:TAGALOG
Other - Last Name:MATUGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:154 SULLIVAN DR
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:VT
Mailing Address - Zip Code:05346-8664
Mailing Address - Country:US
Mailing Address - Phone:802-258-0828
Mailing Address - Fax:
Practice Address - Street 1:154 SULLIVAN DR
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:VT
Practice Address - Zip Code:05346-8664
Practice Address - Country:US
Practice Address - Phone:802-258-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0134574363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner