Provider Demographics
NPI:1336908532
Name:PINKS, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:PINKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:GREIWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 PARKVIEW DR # 662
Mailing Address - Street 2:
Mailing Address - City:JACKSON CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:45334-1119
Mailing Address - Country:US
Mailing Address - Phone:567-712-0737
Mailing Address - Fax:
Practice Address - Street 1:108 PARKVIEW DR # 662
Practice Address - Street 2:
Practice Address - City:JACKSON CENTER
Practice Address - State:OH
Practice Address - Zip Code:45334-1119
Practice Address - Country:US
Practice Address - Phone:567-712-0737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide