Provider Demographics
NPI:1447439518
Name:HINMAN, MARYJANE ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:MARYJANE
Middle Name:ELIZABETH
Last Name:HINMAN
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 1:9485 MENDENHALL LOOP RD
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8738
Mailing Address - Country:US
Mailing Address - Phone:907-790-8859
Mailing Address - Fax:
Practice Address - Street 1:9485 MENDENHALL LOOP RD
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8738
Practice Address - Country:US
Practice Address - Phone:907-790-8859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK14269163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse