Enzman Hines, Mary Irene

Enzman Hines, Mary Irene is an individual health care provider with primary practice located at 3540 S Poplar St Ste 202 , Denver CO 80237-1362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Enzman Hines, Mary Irene can be contacted via phone (720) 442-3615.

Contact Information

Primary practice address
3540 S Poplar St Ste 202 Denver CO 80237-1362
Phone: (720) 442-3615
Fax: (720) 870-3726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 53235 Colorado

Profile Details

NPI number 1538177712
LBN Legal business name Enzman Hines, Mary Irene
Credentials PHD, APRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538177712 NPPES
Colorado MEDICAID 80937829

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