Individual
SEAN JOSEPH HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
207 JEFFERSON ST, MANSFIELD, LA 71052-2603
(318) 872-4160
Mailing address
921 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(800) 444-6110
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN076473
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
APO3008
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1694398
—
LA
Enumeration date
12/11/2006
Last updated
08/06/2015
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