Provider Demographics
NPI:1902025505
Name:WINTER, DRUPATTIE (RN)
Entity Type:Individual
Prefix:
First Name:DRUPATTIE
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DRUPATTIE
Other - Middle Name:
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4744 SHALIMAR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-1049
Mailing Address - Country:US
Mailing Address - Phone:719-321-6853
Mailing Address - Fax:
Practice Address - Street 1:NEW MEXICO VA HEALTH CARE SYSTEM
Practice Address - Street 2:1501 SAN PEDRO DRIVE, SE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001163186163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse