Provider Demographics
NPI:1003664210
Name:WINTONS, ASHANTA (STNA)
Entity type:Individual
Prefix:
First Name:ASHANTA
Middle Name:
Last Name:WINTONS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3274 STAMFORD BRG
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8100
Mailing Address - Country:US
Mailing Address - Phone:727-348-0170
Mailing Address - Fax:
Practice Address - Street 1:3274 STAMFORD BRG
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8100
Practice Address - Country:US
Practice Address - Phone:727-348-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602485840522374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide