Basic Information
Provider Information
NPI: 1003153479
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WINKLER
FirstName: MAURA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: RN, CNM, IBCLC
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 154 NORWOOD AVE
Address2:  
City: BUFFALO
State: NY
PostalCode: 14222
CountryCode: US
TelephoneNumber: 7167993290
FaxNumber:  
Practice Location
Address1: 154 NORWOOD AVE
Address2:  
City: BUFFALO
State: NY
PostalCode: 142221916
CountryCode: US
TelephoneNumber: (716) 799-3290
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/05/2013
LastUpdateDate: 11/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WL0100X732854NYN Nursing Service ProvidersRegistered NurseLactation Consultant
176B00000X001806NYN Other Service ProvidersMidwife 
367A00000X001806NYY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
374J00000X  N Nursing Service Related ProvidersDoula 

No ID Information.


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