Provider Demographics
NPI:1033616792
Name:MILLER, HILARY CHRISTINE
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:CHRISTINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:CHRISTINE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1000 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1299
Mailing Address - Country:US
Mailing Address - Phone:405-271-4476
Mailing Address - Fax:405-271-9202
Practice Address - Street 1:1000 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117
Practice Address - Country:US
Practice Address - Phone:405-271-4476
Practice Address - Fax:405-271-9202
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK113749363LW0102X
MO2018011768363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018011768OtherLICENSE
OK113749OtherOKLAHOMA BOARD OF NURSING