Individual
GEORGINA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 S POWER RD, MESA, AZ 85209-6686
(480) 478-0643
Mailing address
1243 W SAND DUNE DR, GILBERT, AZ 85233-5616
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
271316
AZ
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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