Provider Demographics
NPI:1154468486
Name:HILL, ELIZABETH PURYEAR (FNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PURYEAR
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CONDON POINT RD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04617-3640
Mailing Address - Country:US
Mailing Address - Phone:207-326-7142
Mailing Address - Fax:
Practice Address - Street 1:135 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:ME
Practice Address - Zip Code:04853
Practice Address - Country:US
Practice Address - Phone:207-867-2021
Practice Address - Fax:207-867-2256
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME024011-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHHI NP1776Medicare ID - Type UnspecifiedMEDICARE B
NHS97469Medicare UPIN