Healthcare Provider Details

I. General information

NPI: 1659308377
Provider Name (Legal Business Name): SHARIE G HILLER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 COHANSEY ST
BRIDGETON NJ
08302-1918
US

IV. Provider business mailing address

227 LAUREL RD STE 300
VOORHEES NJ
08043-8303
US

V. Phone/Fax

Practice location:
  • Phone: 856-451-4700
  • Fax: 856-451-0029
Mailing address:
  • Phone: 609-463-6799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberME00020600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: