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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON MARIE HINES, ATC

Active Sole Proprietor

MRS. SHANNON MARIE HINES, ATC is a Athletic Trainer healthcare provider located in LINDENWOLD, New Jersey. NPI 1780806513 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LINDENWOLD, NJ

Registration Details

NPI Number
1780806513
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2007 (19.273570535576 yrs)
Last Updated
Dec 3, 2008
Licenses
25MT00126000 (NJ)
RT003151 (PA)
Sole Proprietor
Yes

Practice Information

Address
LINDENWOLD HIGH SCHOOL
801 EGG HARBOR RD
LINDENWOLD, NJ, 08021
Browse NJ providers · Browse ZIP 08021
Phone
8567410320
Fax
8567410350
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.