Provider Demographics
NPI:1861778755
Name:VANWINKLE, PATRICIA HASTINGS (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:HASTINGS
Last Name:VANWINKLE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:HASTINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, PMHNP-BC
Mailing Address - Street 1:3950 N AW GRIMES BLVD
Mailing Address - Street 2:SUITE # N102
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3950 N AW GRIMES BLVD
Practice Address - Street 2:SUITE # N102
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3540
Practice Address - Country:US
Practice Address - Phone:512-924-9273
Practice Address - Fax:512-238-9259
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752437363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health