Individual
MRS. STEPHANIE R HINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3173 43RD STREET S, FARGO, ND 58104-4564
(701) 478-8780
(218) 773-6861
Mailing address
3173 43RD STREET S, FARGO, ND 58104-4564
(701) 478-8780
(218) 773-6861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0419
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871823021
—
MN
05
—
71063
—
ND
Enumeration date
01/12/2010
Last updated
11/07/2022
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