Healthcare Provider Details

I. General information

NPI: 1326515263
Provider Name (Legal Business Name): ERICA WINKLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/09/2020
Certification Date: 10/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 COMMUNITY DR
SENECA KS
66538-9739
US

IV. Provider business mailing address

1600 COMMUNITY DR
SENECA KS
66538-9739
US

V. Phone/Fax

Practice location:
  • Phone: 785-336-6181
  • Fax:
Mailing address:
  • Phone: 785-336-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number78438
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: