1740756451 NPI number — MRS. HILLARY CHERRE ENGLEMAN FNP-C

Table of content: MRS. HILLARY CHERRE ENGLEMAN FNP-C (NPI 1740756451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740756451 NPI number — MRS. HILLARY CHERRE ENGLEMAN FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENGLEMAN
Provider First Name:
HILLARY
Provider Middle Name:
CHERRE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMPTON
Provider Other First Name:
HILLARY
Provider Other Middle Name:
CHERRE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1740756451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6101 BLUE LAGOON DR STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126-2051
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-500-2027
Provider Business Mailing Address Fax Number:
305-500-2155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1209 HIGHWAY 35 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKPORT
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78382-4808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-463-7146
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP139367 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)