Provider Demographics
NPI:1225315625
Name:HILTS, LINDA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ANN
Last Name:HILTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HILTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:806 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3104
Mailing Address - Country:US
Mailing Address - Phone:518-393-5331
Mailing Address - Fax:518-374-4663
Practice Address - Street 1:806 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3104
Practice Address - Country:US
Practice Address - Phone:518-393-5331
Practice Address - Fax:518-374-4663
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2249671163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01406986Medicaid