Provider Demographics
NPI:1437245446
Name:DINKELAKER, SUZANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:DINKELAKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CLIFFGATE LN
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1435
Mailing Address - Country:US
Mailing Address - Phone:859-781-4139
Mailing Address - Fax:859-572-6799
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:ML 110FTD
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:859-572-6799
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYREG. NO. 3095P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily