Healthcare Provider Details

I. General information

NPI: 1588577407
Provider Name (Legal Business Name): COURTNEY ANNE HINES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3367 COUNTY ROAD 550
FRANKFORT OH
45628-9503
US

IV. Provider business mailing address

3367 COUNTY ROAD 550
FRANKFORT OH
45628-9503
US

V. Phone/Fax

Practice location:
  • Phone: 740-998-6817
  • Fax: 740-998-2359
Mailing address:
  • Phone: 740-998-6817
  • Fax: 740-998-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.340359
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: