Healthcare Provider Details

I. General information

NPI: 1588445878
Provider Name (Legal Business Name): JULIA HILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE # BP3
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

100 N ACADEMY AVE # BP3
DANVILLE PA
17822-0001
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-3481
  • Fax:
Mailing address:
  • Phone: 570-214-3481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN697320
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: