Provider Demographics
NPI:1952688285
Name:WINKLER, CATHIE A
Entity Type:Individual
Prefix:
First Name:CATHIE
Middle Name:A
Last Name:WINKLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHIE
Other - Middle Name:RIEATHBAUM
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNP
Mailing Address - Street 1:423 N JAMES ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-4039
Mailing Address - Country:US
Mailing Address - Phone:501-241-2901
Mailing Address - Fax:
Practice Address - Street 1:423 N JAMES ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-4039
Practice Address - Country:US
Practice Address - Phone:501-241-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP01464363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner