Healthcare Provider Details

I. General information

NPI: 1609845718
Provider Name (Legal Business Name): CONSTANCE E HILL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 OGLETOWN STANTON RD SUITE 2400
NEWARK DE
19713-2055
US

IV. Provider business mailing address

4701 OGLETOWN STANTON RD SUITE 2400
NEWARK DE
19713-2055
US

V. Phone/Fax

Practice location:
  • Phone: 302-731-7782
  • Fax: 302-738-5917
Mailing address:
  • Phone: 302-731-7782
  • Fax: 302-738-5917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG0000353
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: