Provider Demographics
NPI:1508643792
Name:HILDENBRAND, ABBY (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:HILDENBRAND
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 E PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5299
Mailing Address - Country:US
Mailing Address - Phone:520-731-3717
Mailing Address - Fax:
Practice Address - Street 1:7470 E CLOUD RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-2204
Practice Address - Country:US
Practice Address - Phone:520-731-4417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN154964163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool