Provider Demographics
NPI:1427110089
Name:HINTON, CARRIE (RN)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-2529
Mailing Address - Country:US
Mailing Address - Phone:252-823-0690
Mailing Address - Fax:252-824-7772
Practice Address - Street 1:201 MORRISON AVE
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-2529
Practice Address - Country:US
Practice Address - Phone:252-823-0690
Practice Address - Fax:252-824-7772
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2165374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC340948Medicaid
NC6600829Medicaid