Hines, Amber Nicole
Hines, Amber Nicole is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hines, Amber Nicole can be contacted via phone (319) 235-5386.Contact Information
Primary practice address
1825 Logan Ave
Waterloo IA 50703-1916
Phone: (319) 235-5386
Fax: (319) 235-3074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 110691 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | D-110691 | Iowa |
Profile Details
NPI number | 1629232855 |
---|---|
LBN Legal business name | Hines, Amber Nicole |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2008 |
Last updated | Mar 29th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629232855 | NPPES |
Iowa | MEDICAID | 1629232855 |
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