Healthcare Provider Details

I. General information

NPI: 1538956370
Provider Name (Legal Business Name): DEBBIE-ANNE HILL AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE HILL AGPCNP-BC

II. Dates (important events)

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

III. Provider practice location address

1441 EASTLAKE AVE STE 7418
LOS ANGELES CA
90089-1020
US

IV. Provider business mailing address

700 E OCEAN BLVD UNIT 2903
LONG BEACH CA
90802-5041
US

V. Phone/Fax

Practice location:
  • Phone: 954-304-2978
  • Fax:
Mailing address:
  • Phone: 954-304-2978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95034829
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95034829
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95034829
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: