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Individual

MRS. AMBER NICOLE HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-5386
(319) 235-3074
Mailing address
4150 KIMBALL AVE, PO BOX 2758, WATERLOO, IA 50701-9086
(319) 235-5390
(319) 235-5607

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110691
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D-110691
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629232855
IA
Enumeration date
07/16/2008
Last updated
03/29/2012
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