Individual
MRS. DIANE ELLEN TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1550
(602) 263-1692
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN097444 & #230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458407
—
AZ
01
—
AZ0146000
BCBS
AZ
Enumeration date
10/25/2006
Last updated
07/09/2007
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