Provider Demographics
NPI:1538294657
Name:HILLEBRAND, LOUANN (APRN)
Entity Type:Individual
Prefix:MS
First Name:LOUANN
Middle Name:
Last Name:HILLEBRAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 NW 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3531
Mailing Address - Country:US
Mailing Address - Phone:352-505-5581
Mailing Address - Fax:352-378-5166
Practice Address - Street 1:1705 NW 6TH STREET
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3531
Practice Address - Country:US
Practice Address - Phone:352-505-5581
Practice Address - Fax:352-378-5166
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP731722207VG0400X
FL731722367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL731722OtherARNP
FL302639600Medicaid
FLY7246OtherBLUE CROSS BLUE SHIELD