Provider Demographics
NPI:1023114758
Name:HINES, PATRICIA LEA (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEA
Last Name:HINES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LEA
Other - Last Name:CUNNINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10914 E 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5636
Mailing Address - Country:US
Mailing Address - Phone:509-821-5172
Mailing Address - Fax:509-892-5172
Practice Address - Street 1:702 E SHARP AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99258-0001
Practice Address - Country:US
Practice Address - Phone:509-323-4052
Practice Address - Fax:509-323-5516
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP3-0004103363LF0000X
HINP329A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily