Provider Demographics
NPI:1215288345
Name:HINCHCLIFF, ELISABETH (RN)
Entity type:Individual
Prefix:MS
First Name:ELISABETH
Middle Name:
Last Name:HINCHCLIFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ELISABETH
Other - Middle Name:
Other - Last Name:HINCHCLIFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:8828 S SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEEDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13166-9633
Mailing Address - Country:US
Mailing Address - Phone:315-224-6635
Mailing Address - Fax:
Practice Address - Street 1:8828 S SENECA ST
Practice Address - Street 2:
Practice Address - City:WEEDSPORT
Practice Address - State:NY
Practice Address - Zip Code:13166-9633
Practice Address - Country:US
Practice Address - Phone:315-224-6635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY517919-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse