Provider Demographics
NPI:1245567015
Name:HILL, QUALCHELLE DANIELLE (CNA/DSA)
Entity Type:Individual
Prefix:MS
First Name:QUALCHELLE
Middle Name:DANIELLE
Last Name:HILL
Suffix:
Gender:F
Credentials:CNA/DSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 MEADOWLARK CT
Mailing Address - Street 2:APT 106
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1289
Mailing Address - Country:US
Mailing Address - Phone:913-563-8313
Mailing Address - Fax:
Practice Address - Street 1:1701 MEADOWLARK CT
Practice Address - Street 2:APT 106
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1289
Practice Address - Country:US
Practice Address - Phone:913-563-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS165228376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide