Provider Demographics
NPI:1225649262
Name:SHIPMAN, HILDA V
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:V
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 PIERCY ROAD
Mailing Address - Street 2:
Mailing Address - City:KERENS
Mailing Address - State:WV
Mailing Address - Zip Code:26276
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 PIERCY ROAD
Practice Address - Street 2:
Practice Address - City:KERENS
Practice Address - State:WV
Practice Address - Zip Code:26276
Practice Address - Country:US
Practice Address - Phone:304-636-9396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant