Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 02005261B | IN |
N | 207P00000X | Emergency Physician | 04278 | KY |
N | 207P00000X | Emergency Physician | 34.010798 | OH |
N | 207P00000X | Emergency Physician | 81714 | SC |
N | 207P00000X | Emergency Physician | DO-05304 | IA |
N | 207P00000X | Emergency Physician | OC-0102 | ID |
N | 207P00000X | Emergency Physician | OS018457 | PA |
NPI | 1013296763 |
---|---|
Provider Name | Dr. Holli Michelle Hill |
First Address | Boise, ID 83712-6241 |
Second Address | Boise, ID 83712-6241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2011 |
Last Update Date | 06/12/2021 |