Provider Demographics
NPI:1568878486
Name:HILLS, HEATHER ALEXAS (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ALEXAS
Last Name:HILLS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:ALEXAS
Other - Last Name:CLAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:187 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1808
Mailing Address - Country:US
Mailing Address - Phone:814-684-1255
Mailing Address - Fax:814-684-6395
Practice Address - Street 1:417 SABBATH REST RD STE 3
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-7567
Practice Address - Country:US
Practice Address - Phone:814-940-8195
Practice Address - Fax:814-940-8816
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102988010Medicaid