Individual
DR. MARY IRENE ENZMAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, CPNP
Contact information
Practice address
3540 S POPLAR ST STE 202, DENVER, CO 80237-1362
(720) 442-3615
(720) 870-3726
Mailing address
3540 S POPLAR ST STE 202, DENVER, CO 80237-1362
(720) 442-3615
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53235
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80937829
—
CO
Enumeration date
08/04/2006
Last updated
02/03/2021
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