Provider Demographics
NPI:1568696102
Name:HILL, PATRICIA CAROL (RN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CAROL
Last Name:HILL
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 1:130 SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:WICKES
Mailing Address - State:AR
Mailing Address - Zip Code:71973-9312
Mailing Address - Country:US
Mailing Address - Phone:870-385-7466
Mailing Address - Fax:870-385-7700
Practice Address - Street 1:130 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:WICKES
Practice Address - State:AR
Practice Address - Zip Code:71973-9312
Practice Address - Country:US
Practice Address - Phone:870-385-7466
Practice Address - Fax:870-385-7700
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR10466163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool