Provider Demographics
NPI:1770906109
Name:HINZMANN, ELIZABETH LORENE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LORENE
Last Name:HINZMANN
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:1288 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-5245
Mailing Address - Country:US
Mailing Address - Phone:712-328-8800
Mailing Address - Fax:712-328-8461
Practice Address - Street 1:3502 METRO DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501
Practice Address - Country:US
Practice Address - Phone:712-256-7172
Practice Address - Fax:712-256-7374
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA121973363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily