Provider Demographics
NPI:1700817590
Name:WINKER, PATRICIA O'MALLEY (RN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:O'MALLEY
Last Name:WINKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 BUXTON ROAD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1302
Mailing Address - Country:US
Mailing Address - Phone:908-526-2711
Mailing Address - Fax:908-707-8186
Practice Address - Street 1:84 E BROAD ST
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-1820
Practice Address - Country:US
Practice Address - Phone:609-466-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO04228800163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse