Provider Demographics
NPI:1528147329
Name:HINMAN, MARY T (APRN)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:T
Last Name:HINMAN
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:NORTH MEDICAL OFFICE BUILDING
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-203-7080
Mailing Address - Fax:970-203-7085
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:NORTH MEDICAL OFFICE BUILDING
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-203-7080
Practice Address - Fax:970-203-7085
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2016-03-21
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0991688-NP363LF0000X, 364SX0200X
CORN.1621463163W00000X
COAPN.0100003363L00000X
COSNP-100003363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00179358OtherRAILROAD MEDICARE
CO81555857Medicaid
CO81555857Medicaid
CO81555857Medicaid
TN3904762Medicaid