Doctor Name: | MARY HILL |
NPI Number: | 1013386390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 91772 |
Business Practice Address: | 101 Stadium Dr Morgantown, WV - 265067911 |
Business Phone Number: | 3042932436 |
Business Fax Number: | |
Mailing Address: | 101 Stadium Dr, MORGANTOWN |
State: | WV |
Postal Code: | 265067911 |
Phone Number: | 3042932436 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 91772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |