Doctor Name: | MRS. CHANIN HILAND |
NPI Number: | 1376800250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3003618 |
Business Practice Address: | 627 W Fairview Ave Eddyville, KY - 420387386 |
Business Phone Number: | 2703889764 |
Business Fax Number: | 2703880557 |
Mailing Address: | Po Box 763, EDDYVILLE |
State: | KY |
Postal Code: | 420380763 |
Phone Number: | 2703889764 |
Fax Number: | 2703880557 |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 3003618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |