Healthcare Provider Details

I. General information

NPI: 1770161978
Provider Name (Legal Business Name): NANCY HILL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N GOULD ST
SHERIDAN WY
82801-6317
US

IV. Provider business mailing address

1500 N GRANT ST STE 7875
DENVER CO
80203-1753
US

V. Phone/Fax

Practice location:
  • Phone: 307-293-2815
  • Fax: 970-460-0502
Mailing address:
  • Phone: 370-293-2815
  • Fax: 970-460-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number904498
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1000461-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: