Provider Demographics
NPI:1467750307
Name:HILLMAN, ELLEN RUTH (R N)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:RUTH
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9830 DONATO WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7042
Mailing Address - Country:US
Mailing Address - Phone:561-304-1722
Mailing Address - Fax:561-304-1722
Practice Address - Street 1:9830 DONATO WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7042
Practice Address - Country:US
Practice Address - Phone:561-304-1722
Practice Address - Fax:561-304-1722
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9228215163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse