Provider Demographics
NPI:1750866935
Name:HINRICHS, TRACY (DNP-NNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:HINRICHS
Suffix:
Gender:F
Credentials:DNP-NNP
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:KLINGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3157 7TH ST E
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-7980
Mailing Address - Country:US
Mailing Address - Phone:651-323-7504
Mailing Address - Fax:
Practice Address - Street 1:5225 23RD AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7927
Practice Address - Country:US
Practice Address - Phone:701-417-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR38099363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal