Healthcare Provider Details

I. General information

NPI: 1174987481
Provider Name (Legal Business Name): CATHERINE G WINKLER PHD, MPH, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 OLD WATERBURY RD
SOUTHBURY CT
06488-3848
US

IV. Provider business mailing address

22 OLD WATERBURY RD
SOUTHBURY CT
06488-3848
US

V. Phone/Fax

Practice location:
  • Phone: 203-262-4200
  • Fax: 203-264-1534
Mailing address:
  • Phone: 203-262-4200
  • Fax: 203-264-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number6526
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: