Provider Demographics
NPI:1215127519
Name:HANDELSMAN, HILLARY LYNN (CNM, WHNP, NP)
Entity type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:LYNN
Last Name:HANDELSMAN
Suffix:
Gender:F
Credentials:CNM, WHNP, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-7822
Mailing Address - Country:US
Mailing Address - Phone:415-370-4378
Mailing Address - Fax:
Practice Address - Street 1:910 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-7822
Practice Address - Country:US
Practice Address - Phone:415-370-4378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17379363LW0102X
KS64106367A00000X
CA1777367A00000X
OR200850033NP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR246339Medicaid