Provider Demographics
NPI:1104210095
Name:HILL, CARLA LADYNN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:LADYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 ROGERS AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4073
Mailing Address - Country:US
Mailing Address - Phone:479-769-3400
Mailing Address - Fax:479-452-0336
Practice Address - Street 1:7001 ROGERS AVE STE 503
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4073
Practice Address - Country:US
Practice Address - Phone:479-769-3400
Practice Address - Fax:479-452-0336
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK112410363LA2100X
ARA004317363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care