Provider Demographics
NPI:1053335471
Name:HINTON, NOEL C (CFNP)
Entity Type:Individual
Prefix:MR
First Name:NOEL
Middle Name:C
Last Name:HINTON
Suffix:
Gender:M
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 DR MICHAEL DEBAKEY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5724
Mailing Address - Country:US
Mailing Address - Phone:337-312-8284
Mailing Address - Fax:337-312-6711
Practice Address - Street 1:4201 NELSON RD STE 100
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4117
Practice Address - Country:US
Practice Address - Phone:337-310-2273
Practice Address - Fax:337-310-4520
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP03747 RN101162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H831D847OtherMEDICARE LEGACY NUMBER
LA1438294Medicaid
LA4H831D847OtherMEDICARE LEGACY NUMBER
4H8317460Medicare PIN
LAQ68430Medicare UPIN
LAP00776308Medicare PIN