Provider Demographics
NPI:1942398573
Name:HINTON, JULIE L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:L
Last Name:HINTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:L
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:2104 HARRISBURG PIKE STE. 300
Mailing Address - Street 2:PO BOX 3200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3200
Mailing Address - Country:US
Mailing Address - Phone:717-544-3400
Mailing Address - Fax:717-544-3408
Practice Address - Street 1:2104 HARRISBURG PIKE STE 300
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3400
Practice Address - Fax:717-544-3408
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008364363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ19482Medicare UPIN
PA080980KKUMedicare ID - Type Unspecified