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NPI Code Detail

MEDICARE: DORLETHA M HILL CRNA

MEDICARE: DORLETHA M HILL CRNA
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
1367500000XCertified Registered Nurse Anesthetist48918TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43140158OTHERTNBCBS

General Provider Information

NPI Number : 1295722502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORLETHA M HILL CRNA
Provider Business Mailing Address
First Line : 905 SUNBURST RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3889
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : MICHIGAN SURGICAL CENTER
Second Line : 2075 COOLIDGE ROAD EAST
City : EAST LANSING
State : MI
Zip : 48823-1378
Country : US
Telephone Number : 517-319-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 04/05/2018

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Directions to “ DORLETHA M HILL CRNA” Practice Location

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