Healthcare Provider Details
I. General information
NPI: 1437801263
Provider Name (Legal Business Name): MEGHAN ELIZABETH HILLS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2022
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2790 MOSSIDE BLVD STE 720
MONROEVILLE PA
15146-2757
US
IV. Provider business mailing address
801 YORK ST
MANITOWOC WI
54220-4630
US
V. Phone/Fax
- Phone: 412-372-2770
- Fax: 412-372-4656
- Phone: 920-663-9008
- Fax: 920-684-1439
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | MA063335 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: