Provider Demographics
NPI:1215945357
Name:HILL, KATHRYN GIVENS (MSN, RN, APRN-BC FNP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:GIVENS
Last Name:HILL
Suffix:
Gender:F
Credentials:MSN, RN, APRN-BC FNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:SUSAN
Other - Last Name:GIVENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RN, APRN-BC FNP
Mailing Address - Street 1:99 MONTECILLO RD
Mailing Address - Street 2:PLASTIC SURGERY CLINIC, 1ST FLOOR
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3308
Mailing Address - Country:US
Mailing Address - Phone:415-444-2000
Mailing Address - Fax:415-444-2563
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:PLASTIC SURGERY CLINIC, 1ST FLOOR
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN364708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP03433Medicare UPIN