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Individual

MS. DIANA MARIE HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP-AC/PC

Contact information

Practice address
111 MICHIGAN AVE, NW, ORTHOPAEDICS DEPARTMENT, WASHINGTON, DC 20010
(202) 476-4063
Mailing address
12801 NORWOOD LN, FORT WASHINGTON, MD 20744-6314
(240) 338-3183

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
R197559
MD
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
RN1024734
DC

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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