Provider Demographics
NPI:1578145181
Name:WINTER, KATHARINE G (MSCN)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:G
Last Name:WINTER
Suffix:
Gender:F
Credentials:MSCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 HACIENDA DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1328
Mailing Address - Country:US
Mailing Address - Phone:619-890-6355
Mailing Address - Fax:
Practice Address - Street 1:1594 HACIENDA DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1328
Practice Address - Country:US
Practice Address - Phone:619-890-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist