Provider Demographics
NPI:1598573370
Name:WINSTON, ZANTISHA J (RN)
Entity type:Individual
Prefix:
First Name:ZANTISHA
Middle Name:J
Last Name:WINSTON
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 1:1121 UNIVERSITY BLVD W APT 1019
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3321
Mailing Address - Country:US
Mailing Address - Phone:202-487-1649
Mailing Address - Fax:
Practice Address - Street 1:1121 UNIVERSITY BLVD W APT 1019
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3321
Practice Address - Country:US
Practice Address - Phone:202-487-1649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN200002845163W00000X
MDL-315274163WL0100X
374J00000X, 246Q00000X, 246QM0706X, 376K00000X
MDR249973163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No374J00000XNursing Service Related ProvidersDoula
No246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
No376K00000XNursing Service Related ProvidersNurse's Aide