Provider Demographics
NPI:1093587453
Name:HILL, ALISSA
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:NE
Mailing Address - Zip Code:69358-5013
Mailing Address - Country:US
Mailing Address - Phone:308-247-3414
Mailing Address - Fax:
Practice Address - Street 1:505 CENTER AVE
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:NE
Practice Address - Zip Code:69358-3003
Practice Address - Country:US
Practice Address - Phone:308-247-2176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant