Provider Demographics
NPI:1093253106
Name:HINDS, ANN MARIE
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:
Last Name:HINDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NW 176TH ST STE 302-3
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5041
Mailing Address - Country:US
Mailing Address - Phone:786-914-1615
Mailing Address - Fax:
Practice Address - Street 1:160 NW 176TH ST
Practice Address - Street 2:STE 302-3
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5041
Practice Address - Country:US
Practice Address - Phone:786-914-1615
Practice Address - Fax:888-607-3104
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9320558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily