Provider Demographics
NPI:1417535964
Name:HILDEBRAND, ANGELA HOOVER (RN, SANE-A, SANE-P)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:HOOVER
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:RN, SANE-A, SANE-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 21ST ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4287
Mailing Address - Country:US
Mailing Address - Phone:970-945-5195
Mailing Address - Fax:
Practice Address - Street 1:504 21ST ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4287
Practice Address - Country:US
Practice Address - Phone:970-945-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1627108163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse