Provider Demographics
NPI:1194565192
Name:GEARHART, HILDA M
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:M
Last Name:GEARHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 TUSCARORA VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-7900
Mailing Address - Country:US
Mailing Address - Phone:301-970-3313
Mailing Address - Fax:
Practice Address - Street 1:20140 SCHOLAR DR STE 207
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6501
Practice Address - Country:US
Practice Address - Phone:301-970-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR039342163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse