Healthcare Provider Details

I. General information

NPI: 1306463591
Provider Name (Legal Business Name): LAUREN ASHLEY HILL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33030 VAN BORN RD
WAYNE MI
48184-2453
US

IV. Provider business mailing address

8102 THETFORD LN
WILLIS MI
48191-8508
US

V. Phone/Fax

Practice location:
  • Phone: 734-727-7101
  • Fax:
Mailing address:
  • Phone: 313-986-7302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06202578
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: