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Individual

ELIZABETH ANN HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
115 S MURPHY AVE, SUITE A, BRAZIL, IN 47834-8296
(812) 442-2100
(812) 446-4409
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3584
(812) 238-1730
(812) 242-1565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28121880
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201029180
IN
Enumeration date
10/26/2005
Last updated
10/31/2012
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