Healthcare Provider Details

I. General information

NPI: 1720337371
Provider Name (Legal Business Name): CATHERINE JENICE HILL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 F STREET
SACRAMENTO CA
95816
US

IV. Provider business mailing address

2220 F STREET
SACRAMENTO CA
95816
US

V. Phone/Fax

Practice location:
  • Phone: 916-443-8985
  • Fax:
Mailing address:
  • Phone: 916-443-8985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number432126
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: