Provider Demographics
NPI:1306502075
Name:WINTERS, SUNDAY LEANN (RN)
Entity type:Individual
Prefix:
First Name:SUNDAY
Middle Name:LEANN
Last Name:WINTERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 OAK HILL LN APT 637
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-2231
Mailing Address - Country:US
Mailing Address - Phone:512-350-4140
Mailing Address - Fax:
Practice Address - Street 1:1701 OAK HILL LN APT 637
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-2231
Practice Address - Country:US
Practice Address - Phone:512-350-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX944085163WD1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal