=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598722613
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GLORIA D HINKINS RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2006
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5700 N DEXTER AVE
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53209-4212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-527-0131
-----------------------------------------------------
Fax | 414-527-0131
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5700 N DEXTER AVE
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53209-4212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-527-0131
-----------------------------------------------------
Fax | 414-527-0131
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 85502630
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------