Healthcare Provider Details

I. General information

NPI: 1730143421
Provider Name (Legal Business Name): SHERRY MICHELLE WINDLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EMANCIPATION DR
HAMPTON VA
23667-0001
US

IV. Provider business mailing address

106 MEREDITH WAY
NEWPORT NEWS VA
23606-1160
US

V. Phone/Fax

Practice location:
  • Phone: 757-722-6661
  • Fax:
Mailing address:
  • Phone: 757-722-9961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: