Provider Demographics
NPI:1497361398
Name:HINKLE, DIANNA F
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:F
Last Name:HINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 AA ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:WV
Mailing Address - Zip Code:26704-4046
Mailing Address - Country:US
Mailing Address - Phone:304-822-0546
Mailing Address - Fax:
Practice Address - Street 1:548 AA ROGERS RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:WV
Practice Address - Zip Code:26704-4046
Practice Address - Country:US
Practice Address - Phone:304-822-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant