MEDICARE: GEANNA ELIZABETH HILLER PA-C

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	171000000X	Military Health Care Provider
2	363A00000X	Physician Assistant	14176553-1206	UT

General Provider Information

NPI Number	:	1295576221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEANNA ELIZABETH HILLER PA-C

Provider Business Mailing Address
First Line	:	2918 RIVER BEND LN
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81503-4800
Country	:	US
Telephone Number	:	630-408-4751
Fax Number	:

Provider Business Practice Location Address
First Line	:	2496 RICKER RD
Second Line	:
City	:	FORT BLISS
State	:	TX
Zip	:	79916
Country	:	US
Telephone Number	:	915-742-4395
Fax Number	:

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

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	01/16/2026

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