Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 814246 | NV |
NPI | 1003396573 |
---|---|
Provider Name | Julie Hilario |
First Address | Reno, NV 89502-2055 |
Second Address | Reno, NV 89502-1476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2018 |
Last Update Date | 04/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14311265 | CAQH ID (01) | NV |
814246 | NEVADA STATE BOARD OF NURSING (01) | NV |