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NPI Code Detail

MEDICARE: BERNADETTE CLARA HILLSON CNM, ARNP

MEDICARE: BERNADETTE CLARA HILLSON CNM, ARNP
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
1176B00000XMidwifeAP30004684WA
2367A00000XAdvanced Practice MidwifeAP30004684WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3G8895727OTHERWAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10274870OTHERWAL&I
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205801958
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE CLARA HILLSON CNM, ARNP
Provider Business Mailing Address
First Line : 6002 N WESTGATE BLVD
Second Line : STE 230
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-761-2244
Fax Number : 253-761-1040
Provider Business Practice Location Address
First Line : 6002 N WESTGATE BLVD
Second Line : STE 230
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-761-2244
Fax Number : 253-761-1040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 07/02/2014

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Directions to “ BERNADETTE CLARA HILLSON CNM, ARNP” Practice Location

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