Doctor Name: | TRACEY L. HINKLE |
NPI Number: | 1528318151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 13406 |
Business Practice Address: | 1 Turtle Creek Cir Suite F Swanton, OH - 435588537 |
Business Phone Number: | 4198255151 |
Business Fax Number: | 4198255901 |
Mailing Address: | 2200 Jefferson Ave, Pho - 4th Floor TOLEDO |
State: | OH |
Postal Code: | 436047101 |
Phone Number: | 4192511963 |
Fax Number: | 4198255901 |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 13406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |