Healthcare Provider Details

I. General information

NPI: 1053036889
Provider Name (Legal Business Name): CAROLINE HILL CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 SCOTT CIR
JBPHH HI
96853-5399
US

IV. Provider business mailing address

755 SCOTT CIR
JBPHH HI
96853-5399
US

V. Phone/Fax

Practice location:
  • Phone: 808-448-6245
  • Fax:
Mailing address:
  • Phone: 808-448-6245
  • Fax: 808-448-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1686275
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.099824-WHNP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: