Provider Demographics
NPI:1811547524
Name:HINES, AMBER RENE' (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:RENE'
Last Name:HINES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:HOWARD MAYNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 N COLLEGIATE DR STE A
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4885
Mailing Address - Country:US
Mailing Address - Phone:903-784-1608
Mailing Address - Fax:903-784-0846
Practice Address - Street 1:520 N COLLEGIATE DR STE A
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4885
Practice Address - Country:US
Practice Address - Phone:903-784-1608
Practice Address - Fax:903-784-0846
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily