MEDICARE: MISS AMELIA RENEE HINKLEMAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	308509	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275045593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMELIA RENEE HINKLEMAN NP

Provider Business Mailing Address
First Line	:	401 E 80TH ST APT 5D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-0648
Country	:	US
Telephone Number	:	419-789-9518
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 PLAZA ST W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3905
Country	:	US
Telephone Number	:	718-789-4332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	04/15/2021

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