Provider Demographics
NPI:1902004658
Name:HINKELMAN, ELIZABETH THERESA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:THERESA
Last Name:HINKELMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3198
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-3198
Mailing Address - Country:US
Mailing Address - Phone:941-330-3885
Mailing Address - Fax:941-906-8774
Practice Address - Street 1:1617 S TUTTLE AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3132
Practice Address - Country:US
Practice Address - Phone:941-330-8885
Practice Address - Fax:941-906-8774
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1730802363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS23077Medicare UPIN