Provider Demographics
NPI:1689884850
Name:HINGST, SANDRA KAYE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KAYE
Last Name:HINGST
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 GAWER RD
Mailing Address - Street 2:
Mailing Address - City:HERMANN
Mailing Address - State:MO
Mailing Address - Zip Code:65041-4405
Mailing Address - Country:US
Mailing Address - Phone:573-486-3593
Mailing Address - Fax:
Practice Address - Street 1:1807 GAWER RD
Practice Address - Street 2:
Practice Address - City:HERMANN
Practice Address - State:MO
Practice Address - Zip Code:65041-4405
Practice Address - Country:US
Practice Address - Phone:573-486-3593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001000480163WP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics