Provider Demographics
NPI:1003153479
Name:WINKLER, MAURA J (RN, CNM, IBCLC)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:J
Last Name:WINKLER
Suffix:
Gender:F
Credentials:RN, CNM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222
Mailing Address - Country:US
Mailing Address - Phone:716-799-3290
Mailing Address - Fax:
Practice Address - Street 1:154 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1916
Practice Address - Country:US
Practice Address - Phone:716-799-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY732854163WL0100X
NY001806176B00000X, 367A00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula