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Individual

DEREK HINKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073067-23
NH
367500000X
Certified Registered Nurse Anesthetist
9187648
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICENSE
9187648
FL
Enumeration date
04/23/2007
Last updated
06/03/2016
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