Healthcare Provider Details

I. General information

NPI: 1609874502
Provider Name (Legal Business Name): VICKIE M HILL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD
TOLEDO OH
43606-3895
US

IV. Provider business mailing address

2142 N COVE BLVD
TOLEDO OH
43606-3895
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-8541
  • Fax: 419-480-1340
Mailing address:
  • Phone: 419-291-8541
  • Fax: 419-480-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number4328
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNM-04328
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: