MEDICARE: STEPHANIE LOUISE HILL RN

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	163W00000X	Registered Nurse	95034064	CA
2	163WC0200X	Critical Care Medicine Registered Nurse	95034064	CA

General Provider Information

NPI Number	:	1891650453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LOUISE HILL RN

Provider Business Mailing Address
First Line	:	3030 STONEGATE DR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 STONEGATE DR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8812
Country	:	US
Telephone Number	:	530-300-5280
Fax Number	:	530-300-5280

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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