Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1045087 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | CNP022488 | OH |
NPI | 1639672900 |
---|---|
Provider Name | Andrea Nicole Hill |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2018 |
Last Update Date | 20/09/2021 |