Provider Demographics
NPI:1518697028
Name:HINER, AMY SUZANNE (RN, CNS)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SUZANNE
Last Name:HINER
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 6TH STREET SW
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:330-363-2049
Mailing Address - Fax:
Practice Address - Street 1:2600 6TH STREET SW
Practice Address - Street 2:SICU CNS OFFICE
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-4471
Practice Address - Country:US
Practice Address - Phone:330-361-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.11964364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty