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NPI Code Detail

MEDICARE: CAITLYN WINDSOR APRN

MEDICARE: CAITLYN WINDSOR APRN
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 Practitioner209022354IL

General Provider Information

NPI Number : 1598365140
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN WINDSOR APRN
Provider Business Mailing Address
First Line : 110 N BURR BLVD
Second Line :
City : KEWANEE
State : IL
Zip : 61443-2214
Country : US
Telephone Number : 309-852-0197
Fax Number :
Provider Business Practice Location Address
First Line : 110 N BURR BLVD
Second Line :
City : KEWANEE
State : IL
Zip : 61443-2214
Country : US
Telephone Number : 309-852-0527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2020
Last Update Date : 02/20/2024

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