Provider Demographics
NPI:1598487514
Name:HILL, ANNELLE MARIE (BSN, RN, CCM)
Entity Type:Individual
Prefix:MS
First Name:ANNELLE
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:BSN, RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39303 COUNTY CLUB DRIVE
Mailing Address - Street 2:SUITE A-50
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331
Mailing Address - Country:US
Mailing Address - Phone:248-484-9120
Mailing Address - Fax:248-848-9019
Practice Address - Street 1:39303 COUNTY CLUB DRIVE
Practice Address - Street 2:SUITE A-50
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331
Practice Address - Country:US
Practice Address - Phone:248-484-9120
Practice Address - Fax:248-848-9019
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704092748163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management