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NPI Code Detail

MEDICARE: REBA F HILL APN

MEDICARE: REBA F HILL APN
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
1363LF0000XFamily Nurse PractitionerA01292 ANPAR

General Provider Information

NPI Number : 1093913568
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBA F HILL APN
Provider Business Mailing Address
First Line : PO BOX 1300
Second Line :
City : BALD KNOB
State : AR
Zip : 72010-1300
Country : US
Telephone Number : 501-593-1359
Fax Number :
Provider Business Practice Location Address
First Line : 3919 N MALL AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4906
Country : US
Telephone Number : 479-444-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 02/06/2008

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