Provider Demographics
NPI:1326365529
Name:MAHL, HILLARY DAWN (MSN, PHN, PMHNP)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:DAWN
Last Name:MAHL
Suffix:
Gender:F
Credentials:MSN, PHN, PMHNP
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Mailing Address - Street 1:555 E VALLEY PKWY
Mailing Address - Street 2:PALOMAR HOSPITAL, MENTAL HEALTH UNIT
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3048
Mailing Address - Country:US
Mailing Address - Phone:760-739-2697
Mailing Address - Fax:760-739-2796
Practice Address - Street 1:555 E VALLEY PKWY
Practice Address - Street 2:PALOMAR HOSPITAL, MENTAL HEALTH UNIT
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3048
Practice Address - Country:US
Practice Address - Phone:760-739-2697
Practice Address - Fax:760-739-2796
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19557363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health