MEDICARE: MARIA J. HILLMER APNP

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	163W00000X	Registered Nurse	144264-30	WI
2	363L00000X	Nurse Practitioner	5685-33	WI

General Provider Information

NPI Number	:	1598188138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA J. HILLMER APNP

Provider Business Mailing Address
First Line	:	801 YORK ST
Second Line	:
City	:	MANITOWOC
State	:	WI
Zip	:	54220-4630
Country	:	US
Telephone Number	:	866-630-9882
Fax Number	:	920-682-5810

Provider Business Practice Location Address
First Line	:	1245 CHEYENNE AVE
Second Line	:	SUITE 301
City	:	GRAFTON
State	:	WI
Zip	:	53024-9323
Country	:	US
Telephone Number	:	262-377-2222
Fax Number	:	262-377-6543

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

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	02/18/2021

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