Provider Demographics
NPI:1316384944
Name:HINTON, NANCY SUE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SUE
Last Name:HINTON
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Gender:F
Credentials:NP
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Mailing Address - Street 1:11123 PARKVIEW PLAZA DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1707
Mailing Address - Country:US
Mailing Address - Phone:260-266-2020
Mailing Address - Fax:260-672-6639
Practice Address - Street 1:11123 PARKVIEW PLAZA DR
Practice Address - Street 2:SUITE 206
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1707
Practice Address - Country:US
Practice Address - Phone:260-266-2020
Practice Address - Fax:260-672-6639
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71004433A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health