Healthcare Provider Details

I. General information

NPI: 1679721476
Provider Name (Legal Business Name): JULIE ANNE HILTON ACNP-BC,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W REX ALLEN DR
WILLCOX AZ
85643-1129
US

IV. Provider business mailing address

801 W REX ALLEN DR
WILLCOX AZ
85643-1129
US

V. Phone/Fax

Practice location:
  • Phone: 520-766-5000
  • Fax: 520-766-5001
Mailing address:
  • Phone: 520-766-5000
  • Fax: 520-766-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP3099
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP5261
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN067140
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: