Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP9963 | AZ |
NPI | 1003353533 |
---|---|
Provider Name | Holly Marie Hill |
First Address | Tucson, AZ 85701-1713 |
Second Address | Tucson, AZ 85730-1254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2017 |
Last Update Date | 15/06/2017 |