Provider Demographics
NPI:1568137230
Name:HILL, DANIELLE SUZANNE (RN 0001290761)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SUZANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:RN 0001290761
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:SUZANNE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:20302 N HIGH ROCK RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-8859
Mailing Address - Country:US
Mailing Address - Phone:678-699-9860
Mailing Address - Fax:
Practice Address - Street 1:20302 N HIGH ROCK RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-8859
Practice Address - Country:US
Practice Address - Phone:678-699-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0001290761163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency