Provider Demographics
NPI:1790383446
Name:HINE, LU (MSN, CRNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:LU
Middle Name:
Last Name:HINE
Suffix:
Gender:F
Credentials:MSN, CRNP, FNP-C
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, CRNP, FNP-C
Mailing Address - Street 1:766 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:484-206-4447
Mailing Address - Fax:
Practice Address - Street 1:766 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:484-206-4447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022337363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner