MEDICARE: CHRISTIE WINDSOR RN

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
1	163W00000X	Registered Nurse	509632	TX

General Provider Information

NPI Number	:	1417567058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIE WINDSOR RN

Provider Business Mailing Address
First Line	:	109 INDIAN HILLS DR
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-1545
Country	:	US
Telephone Number	:	214-738-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	13601 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4911
Country	:	US
Telephone Number	:	972-702-0300
Fax Number	:	903-532-1401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	01/04/2026

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