Provider Demographics
NPI:1104537505
Name:VAN WINKLE, KRISTIN NICOLE (NP)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:NICOLE
Last Name:VAN WINKLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2484
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1415
Mailing Address - Country:US
Mailing Address - Phone:210-363-0381
Mailing Address - Fax:830-331-2475
Practice Address - Street 1:4499 MEDICAL DR STE 140
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3711
Practice Address - Country:US
Practice Address - Phone:210-698-0742
Practice Address - Fax:210-233-9280
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife