Provider Demographics
NPI:1811629116
Name:WINTER, KRISTA (MPH, BSN, RN)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:MPH, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2246 N 128TH CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3420
Mailing Address - Country:US
Mailing Address - Phone:402-768-3525
Mailing Address - Fax:
Practice Address - Street 1:1501 THURSTON AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-2499
Practice Address - Country:US
Practice Address - Phone:402-293-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE82447163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health