Doctor Name: | MRS. MARCELLA RAE HILL |
NPI Number: | 1083897938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN/ IBCLC |
License Number: | 104-20860 |
Business Practice Address: | 300 School Rd Anadarko, OK - 730059766 |
Business Phone Number: | 4052476590 |
Business Fax Number: | |
Mailing Address: | 300 School Rd, ANADARKO |
State: | OK |
Postal Code: | 730059766 |
Phone Number: | 4052476590 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 104-20860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |