Provider Demographics
NPI:1225035124
Name:HILL, NIKKI (FNP)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:
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 1:403 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3401
Mailing Address - Country:US
Mailing Address - Phone:406-388-8708
Mailing Address - Fax:406-388-8710
Practice Address - Street 1:403 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3401
Practice Address - Country:US
Practice Address - Phone:406-388-8708
Practice Address - Fax:406-388-8710
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN28666363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4302581Medicaid
MT810542541OtherTIN
MTQ08580Medicare UPIN
MT000083851Medicare PIN
MT4457950001Medicare NSC