Provider Demographics
NPI:1154342442
Name:HILL, PATRICIA A (NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:HILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 260
Mailing Address - Street 2:
Mailing Address - City:ISHPEMING
Mailing Address - State:MI
Mailing Address - Zip Code:49849-0260
Mailing Address - Country:US
Mailing Address - Phone:906-485-2143
Mailing Address - Fax:906-486-6898
Practice Address - Street 1:100 MALTON ST
Practice Address - Street 2:STE 7
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-2001
Practice Address - Country:US
Practice Address - Phone:906-475-9699
Practice Address - Fax:906-486-6898
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704141885363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704141885OtherSTATE RN LICENSE NUMBER
MIPH141885OtherBCBS LIC
MI4935504-10Medicaid
MI0E27609038Medicare PIN
MI4704141885OtherSTATE RN LICENSE NUMBER