Provider Demographics
NPI:1285119321
Name:HINTON, EYVONNE (FNP)
Entity type:Individual
Prefix:MS
First Name:EYVONNE
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 CANOGA AVE APT 420
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-3755
Mailing Address - Country:US
Mailing Address - Phone:216-767-3906
Mailing Address - Fax:
Practice Address - Street 1:26135 MUREAU RD STE 101
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3125
Practice Address - Country:US
Practice Address - Phone:818-532-1297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty