Healthcare Provider Details

I. General information

NPI: 1154741403
Provider Name (Legal Business Name): CARONDA HILL-COLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. CARONDA HILL

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 SCHOOL DR
BRYANT AR
72022-3069
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 501-361-9822
  • Fax:
Mailing address:
  • Phone: 870-347-2534
  • Fax: 870-301-2092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0102932
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0102932-C-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number232179
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: