Healthcare Provider Details

I. General information

NPI: 1326088220
Provider Name (Legal Business Name): LAURA HILL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 OAK ST
SPRINGVALE ME
04083-1926
US

IV. Provider business mailing address

PO BOX 72
SANFORD ME
04073-0072
US

V. Phone/Fax

Practice location:
  • Phone: 207-490-6900
  • Fax: 207-324-0546
Mailing address:
  • Phone: 207-490-6900
  • Fax: 207-324-0546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCNP81412
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: