Basic Information
| Provider Information | |||||||||
| NPI: | 1003153479 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WINKLER | ||||||||
| FirstName: | MAURA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | RN, CNM, IBCLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 154 NORWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7167993290 | ||||||||
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| Practice Location | |||||||||
| Address1: | 154 NORWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142221916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7167993290 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WL0100X | 732854 | NY | N | Nursing Service Providers | Registered Nurse | Lactation Consultant | 176B00000X | 001806 | NY | N | Other Service Providers | Midwife | 374J00000X | N | Nursing Service Related Providers | Doula | 367A00000X | 001806 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.