Provider Demographics
NPI:1558349555
Name:HILLYARD, EVE M (RN)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:M
Last Name:HILLYARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 W 7200 S
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-3703
Mailing Address - Country:US
Mailing Address - Phone:801-565-6992
Mailing Address - Fax:801-565-6982
Practice Address - Street 1:195 W 7200 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-3703
Practice Address - Country:US
Practice Address - Phone:801-565-6992
Practice Address - Fax:801-565-6982
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2086313102163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health