Provider Demographics
NPI:1740320787
Name:HINTON, DEBORAH JANE (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JANE
Last Name:HINTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7273 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:NY
Mailing Address - Zip Code:14485-9722
Mailing Address - Country:US
Mailing Address - Phone:585-624-4124
Mailing Address - Fax:
Practice Address - Street 1:7273 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:NY
Practice Address - Zip Code:14485-9722
Practice Address - Country:US
Practice Address - Phone:585-624-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348312-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02196647Medicaid