Provider Demographics
NPI:1003005570
Name:HILL, RENEE ANN (LPN)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:RENEE
Other - Middle Name:ANN
Other - Last Name:STAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:2226 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-1915
Mailing Address - Country:US
Mailing Address - Phone:419-554-9500
Mailing Address - Fax:
Practice Address - Street 1:2226 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-1915
Practice Address - Country:US
Practice Address - Phone:419-554-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 121698164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse