Provider Demographics
NPI:1194030882
Name:HINIC, KATHERINE A (RN, APRN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:HINIC
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Gender:F
Credentials:RN, APRN
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Mailing Address - Street 1:300 POMPTON RD
Mailing Address - Street 2:WPU HEALTH & WELLNESS CENTER OVERLOOK SOUTH
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2103
Mailing Address - Country:US
Mailing Address - Phone:973-720-2360
Mailing Address - Fax:973-720-2632
Practice Address - Street 1:300 POMPTON RD
Practice Address - Street 2:WPU HEALTH & WELLNESS CENTER OVERLOOK SOUTH
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2103
Practice Address - Country:US
Practice Address - Phone:973-720-2360
Practice Address - Fax:973-720-2632
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00085800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health