Provider Demographics
NPI:1306358049
Name:HYLTON, LADNA A
Entity Type:Individual
Prefix:
First Name:LADNA
Middle Name:A
Last Name:HYLTON
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 1:365 FAIRWAY LN
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-6015
Mailing Address - Country:US
Mailing Address - Phone:937-423-5349
Mailing Address - Fax:
Practice Address - Street 1:365 FAIRWAY LN
Practice Address - Street 2:
Practice Address - City:SPRING CREEK
Practice Address - State:NV
Practice Address - Zip Code:89815-6015
Practice Address - Country:US
Practice Address - Phone:937-423-5349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28128612A163W00000X
AZ196462163W00000X
NVRN95833163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse