Provider Demographics
NPI:1134501596
Name:HILL, E'COE MICHELLE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:E'COE
Middle Name:MICHELLE
Last Name:HILL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11327 W MCCASLIN ROSE LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-6923
Mailing Address - Country:US
Mailing Address - Phone:269-625-1833
Mailing Address - Fax:
Practice Address - Street 1:11327 W MCCASLIN ROSE LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-6923
Practice Address - Country:US
Practice Address - Phone:269-625-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF0415170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily