Provider Demographics
NPI:1275122632
Name:WINN, CHRISTINA BENEDETTO (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:BENEDETTO
Last Name:WINN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:BENEDETTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3172 SEABURY ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7036
Mailing Address - Country:US
Mailing Address - Phone:760-224-4742
Mailing Address - Fax:
Practice Address - Street 1:3172 SEABURY ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-7036
Practice Address - Country:US
Practice Address - Phone:760-224-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA453401163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care