MEDICARE: RHONDA BROOKS HILL APRN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	23874	SC
2	163W00000X	Registered Nurse	196704	NC
3	363L00000X	Nurse Practitioner	5005035	NC
4	363LF0000X	Family Nurse Practitioner	5005035	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235432154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA BROOKS HILL APRN-CNP

Provider Business Mailing Address
First Line	:	2746 BOILING SPRINGS RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29316-6003
Country	:	US
Telephone Number	:	864-586-3923
Fax Number	:	864-586-3924

Provider Business Practice Location Address
First Line	:	2746 BOILING SPRINGS RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29316-6003
Country	:	US
Telephone Number	:	864-586-3923
Fax Number	:	864-586-3924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2010
Last Update Date	:	09/19/2024

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