Provider Demographics
NPI:1619003779
Name:HILL, DONNA N (RD)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:N
Last Name:HILL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HINCKLEY ST
Mailing Address - Street 2:#1
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-2540
Mailing Address - Country:US
Mailing Address - Phone:617-628-0919
Mailing Address - Fax:617-628-0919
Practice Address - Street 1:41 HINCKLEY ST
Practice Address - Street 2:#1
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-2540
Practice Address - Country:US
Practice Address - Phone:617-628-0919
Practice Address - Fax:617-628-0919
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2309133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered