Individual
MAURICE O. HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28232191A
IN
367500000X
Certified Registered Nurse Anesthetist
23373
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
R135040
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001052254
ANTHEM PROVIDER NUMBER
IN
05
—
00117027
—
MS
05
—
1992831689
—
WI
05
—
201389760
—
IN
Enumeration date
02/26/2007
Last updated
01/23/2017
Update your record
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