Provider Demographics
NPI:1467404194
Name:TINKER, MAUREEN ELAINE (RN)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELAINE
Last Name:TINKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8761
Mailing Address - Country:US
Mailing Address - Phone:253-964-9421
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MED CTR /ARMY COMM HLTH NURSING
Practice Address - Street 2:9912B E. JOHNSON STREET
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4382
Practice Address - Fax:253-968-4389
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00134206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse