Provider Demographics
NPI:1386607026
Name:HILL, TOBIN EARL (ARNP)
Entity type:Individual
Prefix:MR
First Name:TOBIN
Middle Name:EARL
Last Name:HILL
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 N 1700 W
Mailing Address - Street 2:STE 110
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7059
Mailing Address - Country:US
Mailing Address - Phone:801-779-3500
Mailing Address - Fax:801-779-3508
Practice Address - Street 1:2132 N 1700 W
Practice Address - Street 2:STE 110
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7059
Practice Address - Country:US
Practice Address - Phone:801-779-3500
Practice Address - Fax:801-779-3508
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID54730363L00000X
WAAP30006192363L00000X
UT12712346-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA13866607026Medicaid
WA8949038Medicare PIN
WA9636416Medicaid
WAUS7889411OtherAETNA PCP PIN #
WA9869HIOtherBLUE SHIELD #
WA8861036Medicare PIN