Healthcare Provider Details

I. General information

NPI: 1649647975
Provider Name (Legal Business Name): HILARY LINN MILLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HILARY LINN HEWITT PA-C

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 ANTHONI AVE
WHEELING WV
26003-6459
US

IV. Provider business mailing address

176 ANTHONI AVE
WHEELING WV
26003-6459
US

V. Phone/Fax

Practice location:
  • Phone: 304-234-2060
  • Fax: 304-234-2070
Mailing address:
  • Phone: 304-234-2060
  • Fax: 304-234-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number705
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1927
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number85791
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: