Provider Demographics
NPI:1740088962
Name:HINTZ, CORRAH DARLENE (RN)
Entity type:Individual
Prefix:MRS
First Name:CORRAH
Middle Name:DARLENE
Last Name:HINTZ
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9087 LEXINGTON AVE N UNIT D
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-2227
Mailing Address - Country:US
Mailing Address - Phone:612-462-1281
Mailing Address - Fax:
Practice Address - Street 1:9087 LEXINGTON AVE N UNIT D
Practice Address - Street 2:
Practice Address - City:CIRCLE PINES
Practice Address - State:MN
Practice Address - Zip Code:55014-2227
Practice Address - Country:US
Practice Address - Phone:612-462-1281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2491565163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health