Provider Demographics
NPI:1417567058
Name:WINDSOR, CHRISTIE (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:WINDSOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:109 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1545
Mailing Address - Country:US
Mailing Address - Phone:214-738-2255
Mailing Address - Fax:
Practice Address - Street 1:13601 PRESTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4911
Practice Address - Country:US
Practice Address - Phone:972-702-0300
Practice Address - Fax:903-532-1401
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509632163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse