Healthcare Provider Details

I. General information

NPI: 1154484970
Provider Name (Legal Business Name): DANA HILLYER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 MISSOULA AVE SUITE B
HELENA MT
59601-3801
US

IV. Provider business mailing address

1125 MISSOULA AVE SUITE B
HELENA MT
59601-3801
US

V. Phone/Fax

Practice location:
  • Phone: 406-495-1515
  • Fax: 406-495-1520
Mailing address:
  • Phone: 406-495-1515
  • Fax: 406-495-1520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number20925
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: