Individual
CARRIE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4444 W STATE ROAD 46, BLOOMINGTON, IN 47404-9691
(812) 876-2915
Mailing address
437 W MAIN ST, WORTHINGTON, IN 47471-1524
(812) 227-0382
(812) 585-6097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28137521A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003027A
IN
Other
Enumeration date
08/24/2009
Last updated
10/11/2012
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