Provider Demographics
NPI:1013122423
Name:HINCEWICZ, DEBORAH M (NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:HINCEWICZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9203 BAYARD PL
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2103
Mailing Address - Country:US
Mailing Address - Phone:703-425-1587
Mailing Address - Fax:703-425-1588
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-7512
Practice Address - Fax:703-776-3700
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001083698363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner