Healthcare Provider Details

I. General information

NPI: 1740338961
Provider Name (Legal Business Name): MARGARET M HILLEBRAND MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4830 ZENITH ST
ANCHORAGE AK
99507-3752
US

IV. Provider business mailing address

PO BOX 231825
ANCHORAGE AK
99523-1825
US

V. Phone/Fax

Practice location:
  • Phone: 907-346-5561
  • Fax: 907-346-1016
Mailing address:
  • Phone: 907-346-5561
  • Fax: 907-346-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: