Provider Demographics
NPI:1245542422
Name:WINKELHAKE, LISA ANN (CNA)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:WINKELHAKE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14018 CREST LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-8625
Mailing Address - Country:US
Mailing Address - Phone:815-345-1161
Mailing Address - Fax:
Practice Address - Street 1:14018 CREST LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-8625
Practice Address - Country:US
Practice Address - Phone:815-345-1161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide