Healthcare Provider Details

I. General information

NPI: 1427527761
Provider Name (Legal Business Name): ANGELA SUE HILLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6189 W JOHN L MODGLIN DR STE 200
GREENFIELD IN
46140-9363
US

IV. Provider business mailing address

12773 PAVESTONE CT
FISHERS IN
46037-3831
US

V. Phone/Fax

Practice location:
  • Phone: 317-468-7352
  • Fax:
Mailing address:
  • Phone: 317-529-3180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number71009294A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number28139841A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: