Healthcare Provider Details

I. General information

NPI: 1457507808
Provider Name (Legal Business Name): MS. NANCY BOWER HILLMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 47TH ST SUITE 105
BOULDER CO
80301-1880
US

IV. Provider business mailing address

3434 47TH ST SUITE 105
BOULDER CO
80301-1880
US

V. Phone/Fax

Practice location:
  • Phone: 303-443-1937
  • Fax:
Mailing address:
  • Phone: 303-443-1937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: