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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1538177712 | NPPES |
| Colorado | MEDICAID | 80937829 |
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