Healthcare Provider Details

I. General information

NPI: 1588013106
Provider Name (Legal Business Name): VIVIAN HILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2016
Last Update Date: 06/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5877 RHODE ISLAND AVE
CINCINNATI OH
45237-5433
US

IV. Provider business mailing address

PO BOX 12008
CINCINNATI OH
45212-0008
US

V. Phone/Fax

Practice location:
  • Phone: 513-731-5203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 287306
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: