MEDICARE: CHERISE FRANCIS WINDLE, NURSING CORPORATION

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C3018360	OTHER	CA	CORPORATE NUMBER

General Provider Information

NPI Number	:	1497984827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERISE FRANCIS WINDLE, NURSING CORPORATION

Provider Business Mailing Address
First Line	:	34456 CALLE PORTOLA
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1054
Country	:	US
Telephone Number	:	949-412-9874
Fax Number	:

Provider Business Practice Location Address
First Line	:	34456 CALLE PORTOLA
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1054
Country	:	US
Telephone Number	:	949-412-9874
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	MS. CHERISE FRANCIS WINDLE
Credential	:	NP
Telephone Number	:	949-412-9874

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	07/07/2009

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