Provider Demographics
NPI:1437390721
Name:HINTON, DAWN MARIE (APRN, ANP-BC, GNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:HINTON
Suffix:
Gender:F
Credentials:APRN, ANP-BC, GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6016
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70606-6016
Mailing Address - Country:US
Mailing Address - Phone:337-526-6756
Mailing Address - Fax:
Practice Address - Street 1:4150 NELSON RD STE A3
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4169
Practice Address - Country:US
Practice Address - Phone:337-474-7290
Practice Address - Fax:337-477-4674
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05740363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1662259Medicaid
P00703152Medicare PIN
LA3B0257460Medicare PIN