Healthcare Provider Details

I. General information

NPI: 1982083317
Provider Name (Legal Business Name): JULIE HINMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 W ELLIOT RD SUITE 102
GILBERT AZ
85233-5102
US

IV. Provider business mailing address

261 N ROOSEVELT AVE
CHANDLER AZ
85226-2616
US

V. Phone/Fax

Practice location:
  • Phone: 480-545-2787
  • Fax:
Mailing address:
  • Phone: 480-545-2787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7700
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: