Provider Demographics
NPI:1013454370
Name:WINROW, RACHEL ADAMS
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ADAMS
Last Name:WINROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:TERRY
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-4145
Mailing Address - Country:US
Mailing Address - Phone:575-921-9559
Mailing Address - Fax:
Practice Address - Street 1:606 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-4145
Practice Address - Country:US
Practice Address - Phone:575-921-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician