Provider Demographics
NPI:1093303315
Name:HILLS, NICOLE E
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:E
Last Name:HILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:E
Other - Last Name:NUTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 BOLLINGER DR APT 202
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-1450
Mailing Address - Country:US
Mailing Address - Phone:304-620-5218
Mailing Address - Fax:
Practice Address - Street 1:2468 ROCK CLIFF DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-5062
Practice Address - Country:US
Practice Address - Phone:304-350-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant