Provider Demographics
NPI:1780042101
Name:CHENG, WINNIE MINGWAI (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:WINNIE
Middle Name:MINGWAI
Last Name:CHENG
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 GIBBS XING
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-6395
Mailing Address - Country:US
Mailing Address - Phone:972-672-8335
Mailing Address - Fax:
Practice Address - Street 1:960 GIBBS XING
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-6395
Practice Address - Country:US
Practice Address - Phone:972-672-8335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-30
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686291163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant