Healthcare Provider Details

I. General information

NPI: 1215399332
Provider Name (Legal Business Name): DEBRA J HILLING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 10TH AVE
MENOMINEE MI
49858-3058
US

IV. Provider business mailing address

301 EXPLORER ST
GWINN MI
49841-2813
US

V. Phone/Fax

Practice location:
  • Phone: 906-290-5000
  • Fax: 906-863-2408
Mailing address:
  • Phone: 906-346-4924
  • Fax: 906-346-6474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704268405
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: