MEDICARE: MRS. ELIZABETH THERESA HINKELMAN ARNP

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	363LW0102X	Women's Health Nurse Practitioner	1730802	FL

General Provider Information

NPI Number	:	1902004658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH THERESA HINKELMAN ARNP

Provider Business Mailing Address
First Line	:	PO BOX 3198
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34230-3198
Country	:	US
Telephone Number	:	941-330-3885
Fax Number	:	941-906-8774

Provider Business Practice Location Address
First Line	:	1617 S TUTTLE AVE
Second Line	:	SUITE 1A
City	:	SARASOTA
State	:	FL
Zip	:	34239-3132
Country	:	US
Telephone Number	:	941-330-8885
Fax Number	:	941-906-8774

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

Provider Enumeration Date	:	07/04/2007
Last Update Date	:	07/08/2007

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