IndividualActive
Derron Hines
NPI 1871477042 · Attendant Care Provider · Florissant, MO
Provider details
- NPI number
- 1871477042
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 3747A0650X (MO)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12464 Partridge Run Dr
Florissant, MO 63033-5008
Phone: (314) 637-6649
Approximate (ZIP-level) locationGet directions
Mailing address
12464 Partridge Run Dr
Florissant, MO 63033-5008
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.