Healthcare Provider Details

I. General information

NPI: 1346900578
Provider Name (Legal Business Name): SOPHIE DANIELLE RINKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W AGENCY RD
WEST BURLINGTON IA
52655-1643
US

IV. Provider business mailing address

1539 WINCHESTER DR
BURLINGTON IA
52601-1401
US

V. Phone/Fax

Practice location:
  • Phone: 319-768-4100
  • Fax:
Mailing address:
  • Phone: 319-750-7464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA166645
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: