Individual provider · Type 1 NPI

Mariana Isabel Corpus Hines, APRN

Nurse Practitioner · Waterford, WI

NPI number 1730898396 Active

Practice location

818 Forest Ln
Waterford, WI 53185-4585

Call (262) 514-8199 Map

Fax (262) 514-3851

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 2216 E Nc Highway 54, Durham, NC 27713-2208 · (919) 235-1040

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X16422 (WI)
Family Nurse Practitioner 363LF0000X11020982 (FL)
Family Nurse Practitioner 363LF0000X5019446 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730898396

Mariana Isabel Corpus Hines, APRN's National Provider Identifier is 1730898396, issued on Nov 22, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterford, WI. The record was last updated on Oct 14, 2025.