Provider Demographics
NPI:1538669270
Name:SPENCER-HILL, EUSTACIER (FNP)
Entity Type:Individual
Prefix:MRS
First Name:EUSTACIER
Middle Name:
Last Name:SPENCER-HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:EUSTACIER
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:73 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-4300
Mailing Address - Country:US
Mailing Address - Phone:347-278-1799
Mailing Address - Fax:
Practice Address - Street 1:45 READE PL
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:845-483-6001
Practice Address - Fax:845-483-6002
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY645145163W00000X
NY344221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse