Provider Demographics
NPI:1083171920
Name:WINKLER-ROGERS, ELIZABETH DAWN (ARNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DAWN
Last Name:WINKLER-ROGERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E HARWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1501
Mailing Address - Country:US
Mailing Address - Phone:407-494-5372
Mailing Address - Fax:407-598-5665
Practice Address - Street 1:309 E HARWOOD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1501
Practice Address - Country:US
Practice Address - Phone:407-494-5372
Practice Address - Fax:407-598-5665
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001605363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health