Provider Demographics
NPI:1417208299
Name:ROSS, HILLARY ANN (CPNP)
Entity Type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:ANN
Last Name:ROSS
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:420 DELAWARE ST SE MMC 366
Mailing Address - Street 2:SUITE 660G CANCER CENTER RESEARCH BUILDING
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-626-2646
Mailing Address - Fax:
Practice Address - Street 1:2450 RIVERSIDE AVE
Practice Address - Street 2:UNIVERSITY OF MINNESOTA AMPLATZ CHILDREN'S HOSPITAL
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1450
Practice Address - Country:US
Practice Address - Phone:612-626-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN20121837363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics