Provider Demographics
NPI:1225709157
Name:HILLIUS, DARLA RAE
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:RAE
Last Name:HILLIUS
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 1:304 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:ND
Mailing Address - Zip Code:58533-7160
Mailing Address - Country:US
Mailing Address - Phone:701-220-8560
Mailing Address - Fax:
Practice Address - Street 1:304 6TH AVE NE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:ND
Practice Address - Zip Code:58533-7160
Practice Address - Country:US
Practice Address - Phone:701-220-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant