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NPI Code Detail

MEDICARE: MARY HILL RN

MEDICARE: MARY HILL RN
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
1163W00000XRegistered Nurse068991MO

General Provider Information

NPI Number : 1154829596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HILL RN
Provider Business Mailing Address
First Line : 340 S BROADVIEW ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-5703
Country : US
Telephone Number : 573-332-0416
Fax Number : 573-335-2698
Provider Business Practice Location Address
First Line : 1112 LINDEN ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-7707
Country : US
Telephone Number : 573-332-0416
Fax Number : 573-335-2698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2018
Last Update Date : 01/31/2018

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Directions to “ MARY HILL RN” Practice Location

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