Provider Demographics
NPI:1114158474
Name:WINTERS, CHRISTINA JEAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JEAN
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 779
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:69360-0779
Mailing Address - Country:US
Mailing Address - Phone:308-360-0908
Mailing Address - Fax:
Practice Address - Street 1:309 W 3RD ST.
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:NE
Practice Address - Zip Code:69360
Practice Address - Country:US
Practice Address - Phone:308-360-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1114158474Medicaid