Provider Demographics
NPI:1609690049
Name:HINKENS, BETH RENEE
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:RENEE
Last Name:HINKENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:R
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:738 SHALIMAR DR APT A
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-1948
Mailing Address - Country:US
Mailing Address - Phone:740-485-1252
Mailing Address - Fax:
Practice Address - Street 1:102 CHESTER ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-1508
Practice Address - Country:US
Practice Address - Phone:740-485-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide