Provider Demographics
NPI:1225164981
Name:WINKLER, JUNE MARIE (RN, BSN, MS)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:MARIE
Last Name:WINKLER
Suffix:
Gender:F
Credentials:RN, BSN, MS
Other - Prefix:MS
Other - First Name:JUNE
Other - Middle Name:MARIE
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN, MS
Mailing Address - Street 1:1525 W FRYE RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6178
Mailing Address - Country:US
Mailing Address - Phone:480-812-7946
Mailing Address - Fax:480-812-7990
Practice Address - Street 1:1525 W FRYE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6178
Practice Address - Country:US
Practice Address - Phone:480-812-7946
Practice Address - Fax:480-812-7990
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 045510163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ549462Medicaid