Provider Demographics
NPI:1558968875
Name:WINKLER, VERONICA (RDN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:WINKLER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 BIRCH ST NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4524
Mailing Address - Country:US
Mailing Address - Phone:703-405-9087
Mailing Address - Fax:
Practice Address - Street 1:208 BIRCH ST NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4524
Practice Address - Country:US
Practice Address - Phone:703-405-9087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86084203133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered