Individual
IMAN SHIRELLE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
487 S BROADWAY # 220, YONKERS, NY 10705-3269
(914) 423-4433
(914) 423-9434
Mailing address
845 N BROADWAY, WHITE PLAINS, NY 10603-2427
(914) 761-0600
(914) 761-5367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689982
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402597
NY
Other
Enumeration date
06/23/2016
Last updated
10/21/2019
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