Provider Demographics
NPI:1598657652
Name:CARMEN HINKLE, CARMEN C
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:C
Last Name:CARMEN HINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8938 N VALHALLA DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7901
Mailing Address - Country:US
Mailing Address - Phone:520-358-3106
Mailing Address - Fax:520-844-6349
Practice Address - Street 1:8938 N VALHALLA DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7901
Practice Address - Country:US
Practice Address - Phone:520-358-3106
Practice Address - Fax:520-844-6349
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility