Healthcare Provider Details

I. General information

NPI: 1710926993
Provider Name (Legal Business Name): ELLEN L HILL A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ELLEN L JOHNSON A.R.N.P.

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 ANDERSON AVE
MANHATTAN KS
66503-7588
US

IV. Provider business mailing address

4101 ANDERSON AVE
MANHATTAN KS
66503-7588
US

V. Phone/Fax

Practice location:
  • Phone: 785-587-4101
  • Fax: 785-587-9090
Mailing address:
  • Phone: 785-587-4101
  • Fax: 785-587-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number44489
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: