Provider Demographics
NPI:1629235189
Name:HINRICHS, CAROL A (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:HINRICHS
Suffix:
Gender:F
Credentials:CFNP
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Mailing Address - Street 1:3770 PURITAN WAY
Mailing Address - Street 2:UNIT E
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80516-9463
Mailing Address - Country:US
Mailing Address - Phone:303-957-3101
Mailing Address - Fax:303-957-3113
Practice Address - Street 1:3770 PURITAN WAY
Practice Address - Street 2:UNIT E
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80516-9463
Practice Address - Country:US
Practice Address - Phone:303-288-7882
Practice Address - Fax:303-288-7874
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.00002663363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO38183862Medicaid
CO38183862Medicaid