Provider Demographics
NPI:1154484970
Name:HILLYER, DANA (APRN)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:HILLYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 MISSOULA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3801
Mailing Address - Country:US
Mailing Address - Phone:406-495-1515
Mailing Address - Fax:406-495-1520
Practice Address - Street 1:1125 MISSOULA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3801
Practice Address - Country:US
Practice Address - Phone:406-495-1515
Practice Address - Fax:406-495-1520
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT20925364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000436169Medicaid
MT0000436169Medicaid