Provider Demographics
NPI:1811367543
Name:MAHER-HINES, BERNADETTE
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:MAHER-HINES
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 1:12 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NH
Mailing Address - Zip Code:03752-3416
Mailing Address - Country:US
Mailing Address - Phone:970-219-9778
Mailing Address - Fax:
Practice Address - Street 1:12 CROSS RD
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NH
Practice Address - Zip Code:03752-3416
Practice Address - Country:US
Practice Address - Phone:970-219-9778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051407-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse