Provider Demographics
NPI:1588025837
Name:HINDS-WHEELER, NADINE
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:HINDS-WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3503
Mailing Address - Country:US
Mailing Address - Phone:347-797-8558
Mailing Address - Fax:
Practice Address - Street 1:649 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3503
Practice Address - Country:US
Practice Address - Phone:347-797-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07196800164W00000X
NY324448-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse