Provider Demographics
NPI:1669932208
Name:HUERTA DE HINKS, ARIANNA B
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:B
Last Name:HUERTA DE HINKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-4276
Mailing Address - Country:US
Mailing Address - Phone:507-402-8397
Mailing Address - Fax:
Practice Address - Street 1:1607 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-4276
Practice Address - Country:US
Practice Address - Phone:507-402-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)