Healthcare Provider Details

I. General information

NPI: 1982093464
Provider Name (Legal Business Name): SUSAN PAIGE HILL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 MONTCLAIR RD SUITE 955
BIRMINGHAM AL
35213-1923
US

IV. Provider business mailing address

860 MONTCLAIR RD SUITE 955
BIRMINGHAM AL
35213-1923
US

V. Phone/Fax

Practice location:
  • Phone: 205-332-3160
  • Fax: 866-702-0880
Mailing address:
  • Phone: 205-332-3160
  • Fax: 866-702-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-137731
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: