Provider Demographics
NPI:1255054821
Name:WINTER, JULIE ALYN (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ALYN
Last Name:WINTER
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Gender:F
Credentials:RN, IBCLC
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Mailing Address - Street 1:15502 STONEYBROOK WEST PKWY
Mailing Address - Street 2:STE 104
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4767
Mailing Address - Country:US
Mailing Address - Phone:407-279-0480
Mailing Address - Fax:321-231-7385
Practice Address - Street 1:17011 STATE ROAD 50
Practice Address - Street 2:STE 103
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711
Practice Address - Country:US
Practice Address - Phone:407-279-0480
Practice Address - Fax:321-231-7385
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2024-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9542416163W00000X
TNL-144013163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse