Healthcare Provider Details

I. General information

NPI: 1326876665
Provider Name (Legal Business Name): AIMEE RENE NICOLE HILL APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4544 S LAMAR BLVD STE 740
AUSTIN TX
78745-1500
US

IV. Provider business mailing address

3545 COUNTY ROAD 200
LIBERTY HILL TX
78642-3826
US

V. Phone/Fax

Practice location:
  • Phone: 844-789-7246
  • Fax: 888-880-9323
Mailing address:
  • Phone: 409-656-8361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1169893
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: