Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704268553 | MI |
NPI | 1003441544 |
---|---|
Provider Name | Michelle Renee Hill |
First Address | Marcellus, MI 49067-9342 |
Second Address | Three Rivers, MI 49093-8319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2020 |
Last Update Date | 05/03/2020 |