Provider Demographics
NPI:1831994417
Name:WINKINHOFER, ELIZABETH MARIE
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:WINKINHOFER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 LUZERNE ST
Mailing Address - Street 2:
Mailing Address - City:TABLE ROCK
Mailing Address - State:NE
Mailing Address - Zip Code:68447-3048
Mailing Address - Country:US
Mailing Address - Phone:816-516-9904
Mailing Address - Fax:
Practice Address - Street 1:308 LUZERNE ST
Practice Address - Street 2:
Practice Address - City:TABLE ROCK
Practice Address - State:NE
Practice Address - Zip Code:68447-3048
Practice Address - Country:US
Practice Address - Phone:816-516-9904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH14108968311ZA0620X, 172V00000X
374U00000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker