Basic Information
Provider Information
NPI: 1104862457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINKIE
FirstName: INA
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2060 BRIGADE ROAD
Address2:  
City: ENOLA
State: PA
PostalCode: 17025
CountryCode: US
TelephoneNumber: 7177321892
FaxNumber:  
Practice Location
Address1: N 21ST STREET
Address2: HOLY SPIRIT HOSPITAL
City: CAMP HILL
State: PA
PostalCode: 170112288
CountryCode: US
TelephoneNumber: 7177632100
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X12766PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home