Provider Demographics
NPI:1164013272
Name:WINFIELD, ZACH
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 LEFTHAND CANYON DR
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80455-9724
Mailing Address - Country:US
Mailing Address - Phone:817-994-2467
Mailing Address - Fax:
Practice Address - Street 1:8104 LEFTHAND CANYON DR
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CO
Practice Address - Zip Code:80455-9724
Practice Address - Country:US
Practice Address - Phone:817-994-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist