Provider Demographics
NPI:1679924898
Name:HINSHAW, SABRINA RAE HANEY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:RAE HANEY
Last Name:HINSHAW
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 COSTER RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-9117
Mailing Address - Country:US
Mailing Address - Phone:864-275-1905
Mailing Address - Fax:
Practice Address - Street 1:117 COSTER RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9117
Practice Address - Country:US
Practice Address - Phone:864-275-1905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20290363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner