Provider Demographics
NPI:1770114183
Name:HINTON, LANDRIA (APRN, FNP)
Entity type:Individual
Prefix:MS
First Name:LANDRIA
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 PRESTON OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7660
Mailing Address - Country:US
Mailing Address - Phone:502-275-8461
Mailing Address - Fax:
Practice Address - Street 1:6667 VERNON WOODS DR STE B40
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3227
Practice Address - Country:US
Practice Address - Phone:404-968-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN281157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily