Provider Demographics
NPI:1437614369
Name:HILL, KRISTIE A (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:A
Last Name:HILL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MISS
Other - First Name:KRISTIE
Other - Middle Name:A
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:200 LAGRANGE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3516
Mailing Address - Country:US
Mailing Address - Phone:302-454-2018
Mailing Address - Fax:302-454-5969
Practice Address - Street 1:200 LAGRANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3516
Practice Address - Country:US
Practice Address - Phone:302-454-2018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0026021163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool