Provider Demographics
NPI:1467271791
Name:HILL, LAURA BETH (RN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DONALD
Other - Middle Name:JOSEPH
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 348
Mailing Address - Street 2:
Mailing Address - City:MONETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72447-0348
Mailing Address - Country:US
Mailing Address - Phone:870-227-0973
Mailing Address - Fax:
Practice Address - Street 1:419 COUNTY ROAD 560
Practice Address - Street 2:
Practice Address - City:MONETTE
Practice Address - State:AR
Practice Address - Zip Code:72447-9129
Practice Address - Country:US
Practice Address - Phone:870-227-0973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide