MEDICARE: MRS. AMY SUZANNE HINER RN, CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	APRN.CNP.0039122	OH
2	364SA2200X	Adult Health Clinical Nurse Specialist	APRN.CNS.11964	OH

General Provider Information

NPI Number	:	1518697028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY SUZANNE HINER RN, CNS

Provider Business Mailing Address
First Line	:	PO BOX 80690
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-0690
Country	:	US
Telephone Number	:	330-363-7444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 6TH STREET SW
Second Line	:	AIM OFFICE
City	:	CANTON
State	:	OH
Zip	:	44710-4471
Country	:	US
Telephone Number	:	330-361-2137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	04/13/2026

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