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NPI Code Detail

MEDICARE: CHERYL ANN WINTER FNP

MEDICARE: CHERYL ANN WINTER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner624976TX
2133V00000XRegistered DietitianDT02706TX
3163WD0400XDiabetes Educator Registered Nurse624976TX

General Provider Information

NPI Number : 1215075825
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL ANN WINTER FNP
Provider Business Mailing Address
First Line : 17937 I-45 S STE 115
Second Line :
City : SHENANDOAH
State : TX
Zip : 77385-8783
Country : US
Telephone Number : 832-237-3500
Fax Number : 888-237-7954
Provider Business Practice Location Address
First Line : 13171 MISTY WILLOW DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5635
Country : US
Telephone Number : 832-237-3500
Fax Number : 832-237-0200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 01/02/2013

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