Provider Demographics
NPI:1730470436
Name:HINRICHSEN, ETHNA MURPHY (PA)
Entity Type:Individual
Prefix:MRS
First Name:ETHNA
Middle Name:MURPHY
Last Name:HINRICHSEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 N TRIPHAMMER RD
Mailing Address - Street 2:STE. 203
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1082
Mailing Address - Country:US
Mailing Address - Phone:607-257-1107
Mailing Address - Fax:
Practice Address - Street 1:2333 N TRIPHAMMER RD
Practice Address - Street 2:STE. 203
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1082
Practice Address - Country:US
Practice Address - Phone:607-257-1107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014663-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant