Individual
BRENDA HINZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 15TH STREET , STE 310, GREELEY, CO 80631
(970) 392-0900
(970) 506-3795
Mailing address
1800 15TH STREET , STE 310, GREELEY, CO 80631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-988
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-988
COLORADO MEDICAL LICENSE
CO
Enumeration date
07/10/2006
Last updated
11/17/2008
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