Doctor Name: | MS. CHERYLE ANN WING |
NPI Number: | 1134224454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 396501 |
Business Practice Address: | 5 Mareblu Aliso Viejo, CA - 926563014 |
Business Phone Number: | 9496436905 |
Business Fax Number: | |
Mailing Address: | 24312 De Leon Dr, DANA POINT |
State: | CA |
Postal Code: | 926291608 |
Phone Number: | 9494937633 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 396501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |