Healthcare Provider Details

I. General information

NPI: 1700768199
Provider Name (Legal Business Name): ERICKA LYNN HINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E 1ST ST
CASPER WY
82601-2747
US

IV. Provider business mailing address

580 GRANITE PEAK DR APT 107
CASPER WY
82609-4528
US

V. Phone/Fax

Practice location:
  • Phone: 307-577-7737
  • Fax:
Mailing address:
  • Phone: 307-267-9439
  • Fax: 307-267-9439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number44689
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: