Doctor Name: | MS. TARA M HILL |
NPI Number: | 1588086763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP013250 |
Business Practice Address: | 144 S Old Turnpike Rd Drums, PA - 182221720 |
Business Phone Number: | 5707886363 |
Business Fax Number: | |
Mailing Address: | Po Box 1347, KINGSTON |
State: | PA |
Postal Code: | 187040347 |
Phone Number: | 5702888881 |
Fax Number: | 5702888065 |
NPI Enumeration Date: | 01/07/2014 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |