| Doctor Name: | ELIZABETH ANN HINES |
| NPI Number: | 1619967098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | 28121880 |
| Business Practice Address: | 115 S Murphy Ave Suite A Brazil, IN - 478348296 |
| Business Phone Number: | 8124422100 |
| Business Fax Number: | 8124464409 |
| Mailing Address: | 2723 S 7th St, Suite A TERRE HAUTE |
| State: | IN |
| Postal Code: | 478023584 |
| Phone Number: | 8122381730 |
| Fax Number: | 8122421565 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 10/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 28121880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |