Provider Demographics
NPI:1942885561
Name:DINKINS, BEATRICE LAWAN (STNA)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:LAWAN
Last Name:DINKINS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 DANMEAD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1123
Mailing Address - Country:US
Mailing Address - Phone:330-809-4977
Mailing Address - Fax:
Practice Address - Street 1:887 DANMEAD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1123
Practice Address - Country:US
Practice Address - Phone:330-809-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OH400513180605251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No171M00000XOther Service ProvidersCase Manager/Care Coordinator