Provider Demographics
NPI:1518737188
Name:HINKLE, BRITTANY LEE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
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 1:213 WEST ST S
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-8101
Mailing Address - Country:US
Mailing Address - Phone:641-519-0563
Mailing Address - Fax:641-519-0467
Practice Address - Street 1:213 WEST ST S
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-8101
Practice Address - Country:US
Practice Address - Phone:641-519-0563
Practice Address - Fax:641-519-0467
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA177768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily