MEDICARE: LINETTE R HILLIARD CRNP

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	363LF0000X	Family Nurse Practitioner	SP013292	PA

General Provider Information

NPI Number	:	1912335332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINETTE R HILLIARD CRNP

Provider Business Mailing Address
First Line	:	4 ALLEGHENY CTR FL 7
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 N BROAD STREET EXT STE 4
Second Line	:
City	:	GROVE CITY
State	:	PA
Zip	:	16127-5805
Country	:	US
Telephone Number	:	724-458-8754
Fax Number	:

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

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	10/28/2025

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