Healthcare Provider Details
I. General information
NPI: 1245784925
Provider Name (Legal Business Name): VALERIE ANN HINSCHBERGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2016
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 E 9TH ST
CORALVILLE IA
52241-2209
US
IV. Provider business mailing address
200 HAWKINS DR
IOWA CITY IA
52242-1009
US
V. Phone/Fax
- Phone: 319-467-2000
- Fax: 319-467-2410
- Phone: 319-467-2000
- Fax: 319-467-2410
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 083687 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: