Individual
BETHANY HINCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
201803186RN
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
201803186RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201803186RN
REGISTERED NURSE
OR
Enumeration date
01/15/2020
Last updated
01/15/2020
Update your record
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