Provider Demographics
NPI:1033502331
Name:HILDERBRAND, PATRICIA ANN (RN, MS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:HILDERBRAND
Suffix:
Gender:F
Credentials:RN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24435 TREVINO DR UNIT W1
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2838
Mailing Address - Country:US
Mailing Address - Phone:661-877-5263
Mailing Address - Fax:661-678-0427
Practice Address - Street 1:24435 TREVINO DR UNIT W1
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2838
Practice Address - Country:US
Practice Address - Phone:661-877-5263
Practice Address - Fax:661-678-0427
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720576163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health