Healthcare Provider Details

I. General information

NPI: 1679295182
Provider Name (Legal Business Name): SAMUEL LINDSEY HILL JR. NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 61ST AVE
GREELEY CO
80634-3044
US

IV. Provider business mailing address

632 SUNDANCE DR
WINDSOR CO
80550-3177
US

V. Phone/Fax

Practice location:
  • Phone: 970-330-0333
  • Fax:
Mailing address:
  • Phone: 601-433-1618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number905525
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0102503-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: