MEDICARE: CARLY HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1181858	KY
2	367500000X	Certified Registered Nurse Anesthetist	APRN.CRNA.0021460	OH

General Provider Information

NPI Number	:	1043188733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY HILL

Provider Business Mailing Address
First Line	:	6225 N STATE HIGHWAY 161 STE 200
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2241
Country	:	US
Telephone Number	:	214-687-0001
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 STATE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-2439
Country	:	US
Telephone Number	:	513-624-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2025
Last Update Date	:	03/05/2026

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Directions to “ CARLY HILL ” Practice Location

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