Provider Demographics
NPI:1316523285
Name:HINZ, TRACY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNN
Last Name:HINZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 7TH ST SE STE 240
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3397
Mailing Address - Country:US
Mailing Address - Phone:256-973-4885
Mailing Address - Fax:
Practice Address - Street 1:1215 7TH ST SE STE 240
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3397
Practice Address - Country:US
Practice Address - Phone:256-973-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209022996363L00000X, 363LF0000X
AL1-122958163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse