Healthcare Provider Details

I. General information

NPI: 1730153149
Provider Name (Legal Business Name): DONNA LAUREEN RINKER RN MSN BC-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 S GARFIELD AVE
TRAVERSE CITY MI
49686-4337
US

IV. Provider business mailing address

1719 S GARFIELD AVE
TRAVERSE CITY MI
49686-4337
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-0799
  • Fax: 231-935-0962
Mailing address:
  • Phone: 231-935-0799
  • Fax: 231-935-0962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number4704161197
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704161197
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: