Healthcare Provider Details

I. General information

NPI: 1568090744
Provider Name (Legal Business Name): TERRI HINTZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

IV. Provider business mailing address

446 LAKEVIEW TRL
NEBO NC
28761-0122
US

V. Phone/Fax

Practice location:
  • Phone: 828-257-4730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number150872
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: