Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | CNP81194 | ME |
N | 363LA2200X | Nurse Practitioner - Adult Health | R029629 | ME |
NPI | 1003829987 |
---|---|
Provider Name | Diane M Hill |
First Address | Brewer, ME 04412-1006 |
Second Address | Bangor, ME 04401-4332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 03/03/2021 |