Provider Demographics
NPI:1013037274
Name:HIN-SERAPHEAP, ARUNNY (RN)
Entity Type:Individual
Prefix:
First Name:ARUNNY
Middle Name:
Last Name:HIN-SERAPHEAP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ARUNNY
Other - Middle Name:
Other - Last Name:HIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:5544 BLACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-2536
Mailing Address - Country:US
Mailing Address - Phone:209-931-3020
Mailing Address - Fax:
Practice Address - Street 1:1212 N CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-1552
Practice Address - Country:US
Practice Address - Phone:209-468-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547944163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health