MEDICARE: MS. KAREN LORRAINE HILL PNP

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	363LP0200X	Pediatric Nurse Practitioner	659074	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	175846801	OTHER	TX	TPI
2	659074	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1437140399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LORRAINE HILL PNP

Provider Business Mailing Address
First Line	:	4815 ALAMEDA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-2705
Country	:	US
Telephone Number	:	915-521-7415
Fax Number	:	915-521-7920

Provider Business Practice Location Address
First Line	:	300 S ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6635
Country	:	US
Telephone Number	:	915-860-8820
Fax Number	:	915-859-4671

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	07/08/2007

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