Healthcare Provider Details

I. General information

NPI: 1578184693
Provider Name (Legal Business Name): DESIREE LYNN HILBORN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 C ST
ANCHORAGE AK
99501-5127
US

IV. Provider business mailing address

1577 C ST
ANCHORAGE AK
99501-5127
US

V. Phone/Fax

Practice location:
  • Phone: 510-995-6721
  • Fax: 800-823-5067
Mailing address:
  • Phone: 510-995-6721
  • Fax: 800-823-5067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209021160
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number195427
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: