Provider Demographics
NPI:1588798151
Name:WINDHORST, GAYLE A (LPN NURSE)
Entity Type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:A
Last Name:WINDHORST
Suffix:
Gender:F
Credentials:LPN NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22636 BRIGHTLAND DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-9640
Mailing Address - Country:US
Mailing Address - Phone:812-637-5233
Mailing Address - Fax:812-637-9026
Practice Address - Street 1:6223 MARCUS CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1884
Practice Address - Country:US
Practice Address - Phone:513-779-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN035803164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse