Provider Demographics
NPI:1861041618
Name:HINKLE, TAMARAH LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:TAMARAH
Middle Name:LYNN
Last Name:HINKLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 S BLUFF ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3593
Mailing Address - Country:US
Mailing Address - Phone:435-628-5851
Mailing Address - Fax:435-628-5852
Practice Address - Street 1:595 S BLUFF ST STE 6
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3593
Practice Address - Country:US
Practice Address - Phone:435-628-5851
Practice Address - Fax:435-628-5852
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8207012-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily