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NPI Code Detail

MEDICARE: MS. SUSAN HILLIARD CRNA

MEDICARE: MS. SUSAN HILLIARD 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 AnesthetistRN265083LPA

General Provider Information

NPI Number : 1578532859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN HILLIARD CRNA
Provider Business Mailing Address
First Line : 908 TOTTENHAM DR
Second Line :
City : MOON TWP
State : PA
Zip : 15108-2824
Country : US
Telephone Number : 412-269-7457
Fax Number :
Provider Business Practice Location Address
First Line : 25 HECKEL RD
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1651
Country : US
Telephone Number : 412-777-6492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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