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: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 POLOVINA TURNPIKE
SAINT PAUL AK
99660
US

IV. Provider business mailing address

PO BOX 5517
PORTLAND OR
97228-5517
US

V. Phone/Fax

Practice location:
  • Phone: 907-546-8300
  • Fax: 907-729-6353
Mailing address:
  • Phone: 888-227-3312
  • Fax: 503-893-6847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: