Healthcare Provider Details

I. General information

NPI: 1033218151
Provider Name (Legal Business Name): DONNA MARIE HINKLE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NE INDEPENDENCE AVE
LEES SUMMIT MO
64086-5544
US

IV. Provider business mailing address

901 NE INDEPENDENCE AVE
LEES SUMMIT MO
64086-5544
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-3261
  • Fax: 816-347-3020
Mailing address:
  • Phone: 816-347-3261
  • Fax: 816-347-3020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number091233
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: