Healthcare Provider Details
I. General information
NPI: 1073162319
Provider Name (Legal Business Name): HILLARY VANHOY ABSHER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/09/2019
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 MALCOLM BLVD
CONNELLY SPRINGS NC
28612-7920
US
IV. Provider business mailing address
720 MALCOLM BLVD
CONNELLY SPRINGS NC
28612-7920
US
V. Phone/Fax
- Phone: 828-580-7536
- Fax: 828-580-7537
- Phone: 828-580-7536
- Fax: 828-580-7537
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5012269 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: