Provider Demographics
NPI:1386152015
Name:HILL, MICHAEL L
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:HILL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 DUMONT BLVD APT A193
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-4272
Mailing Address - Country:US
Mailing Address - Phone:253-315-0192
Mailing Address - Fax:702-293-3664
Practice Address - Street 1:1001 DUMONT BLVD APT A193
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-4272
Practice Address - Country:US
Practice Address - Phone:253-315-0192
Practice Address - Fax:702-293-3664
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV$$$$$$$$$Medicaid