Provider Demographics
NPI:1659719573
Name:WINTER, LAUREL A (CD(DONA))
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:A
Last Name:WINTER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9131 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-2219
Mailing Address - Country:US
Mailing Address - Phone:612-554-8754
Mailing Address - Fax:
Practice Address - Street 1:9131 14TH AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-2219
Practice Address - Country:US
Practice Address - Phone:612-554-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula