Provider Demographics
NPI:1568163913
Name:HILVERS, CHRISTINA S (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:S
Last Name:HILVERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 LYNN CAMP RD
Mailing Address - Street 2:
Mailing Address - City:PENNSBORO
Mailing Address - State:WV
Mailing Address - Zip Code:26415-5525
Mailing Address - Country:US
Mailing Address - Phone:304-299-1696
Mailing Address - Fax:
Practice Address - Street 1:400 MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:WV
Practice Address - Zip Code:26362-1150
Practice Address - Country:US
Practice Address - Phone:304-643-2712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
WV31375164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No376J00000XNursing Service Related ProvidersHomemaker