Provider Demographics
NPI:1538496401
Name:HINDS, SUSAN R (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:R
Last Name:HINDS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 GREEN SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-1306
Mailing Address - Country:US
Mailing Address - Phone:813-782-5086
Mailing Address - Fax:813-714-4855
Practice Address - Street 1:7217 GREEN SLOPE DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-1306
Practice Address - Country:US
Practice Address - Phone:813-782-5086
Practice Address - Fax:813-714-4855
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP759002363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics