Healthcare Provider Details

I. General information

NPI: 1710215686
Provider Name (Legal Business Name): ERIN E HILLERS C.N.M., WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 TRINITY PL
MISHAWAKA IN
46545-5000
US

IV. Provider business mailing address

11664 MADISON COUNTY CIR
GRANGER IN
46530-6756
US

V. Phone/Fax

Practice location:
  • Phone: 574-275-0990
  • Fax:
Mailing address:
  • Phone: 574-849-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71003139A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number71003139A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number71003139A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number71003139A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: