Healthcare Provider Details

I. General information

NPI: 1003153479
Provider Name (Legal Business Name): MAURA J WINKLER RN, CNM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2013
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 VIRGINIA ST
BUFFALO NY
14201-2023
US

IV. Provider business mailing address

414 VIRGINIA ST
BUFFALO NY
14201-2023
US

V. Phone/Fax

Practice location:
  • Phone: 716-427-4541
  • Fax:
Mailing address:
  • Phone: 716-427-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number732854
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number001806
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001806
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: