Provider Demographics
NPI:1033368923
Name:WINKLER, CECILIA ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:ANN
Last Name:WINKLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10400 E 600 S
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-9444
Mailing Address - Country:US
Mailing Address - Phone:765-427-4964
Mailing Address - Fax:765-772-7113
Practice Address - Street 1:5500 STATE ROAD 38 E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-9405
Practice Address - Country:US
Practice Address - Phone:765-449-6790
Practice Address - Fax:765-772-7113
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002684A363LF0000X
IN71002684B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily