1700937067 NPI number — SYLVIA DIANNE HILL CRNP

Table of content: MS. DONNA MILLER C.R.N.P. (NPI 1649321969)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700937067 NPI number — SYLVIA DIANNE HILL CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
SYLVIA
Provider Middle Name:
DIANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700937067
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
309 TAYLOR ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSBORO
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35768-2421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-259-5313
Provider Business Mailing Address Fax Number:
256-259-4923

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29810 AL HIGHWAY 71
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRYANT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35958-5240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-597-4114
Provider Business Practice Location Address Fax Number:
256-597-4115
Provider Enumeration Date:
01/15/2007

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:  1063828 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 051500958 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630303020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630307020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051079097 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630306020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051518491 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051029846 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051511282 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630308020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 630309020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051518454 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 630302020 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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