Healthcare Provider Details

I. General information

NPI: 1629377239
Provider Name (Legal Business Name): HINTON NP SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 WILLIAM ST
LAKE CHARLES LA
70601-3824
US

IV. Provider business mailing address

PO BOX 6016
LAKE CHARLES LA
70606-6016
US

V. Phone/Fax

Practice location:
  • Phone: 337-214-0097
  • Fax:
Mailing address:
  • Phone: 337-526-6756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP05740
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN M HINTON
Title or Position: NURSE PRACTITIONER
Credential: APRN, ANP-BC, GNP-BC
Phone: 337-526-6756