Provider Demographics
NPI:1477519213
Name:WINKLER, MAUREEN MARTIN (APRN,)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:MARTIN
Last Name:WINKLER
Suffix:
Gender:F
Credentials:APRN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 W 6TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-7700
Mailing Address - Country:US
Mailing Address - Phone:785-843-5160
Mailing Address - Fax:785-843-2524
Practice Address - Street 1:4525 W 6TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-7700
Practice Address - Country:US
Practice Address - Phone:785-843-5160
Practice Address - Fax:785-843-2524
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45400-031363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health