Individual
CHENELLE RAE HINMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5675 N FRONT ST, PHILADELPHIA, PA 19120-2719
(215) 279-9666
(215) 279-9674
Mailing address
1500 MARKET ST, LM 500 WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 985-2595
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN531824
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014676
PA
Other
Enumeration date
12/12/2014
Last updated
07/18/2016
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