Provider Demographics
NPI:1629266382
Name:HILTON, CARLA A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:A
Last Name:HILTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:KS
Mailing Address - Zip Code:67045-1090
Mailing Address - Country:US
Mailing Address - Phone:620-583-7436
Mailing Address - Fax:620-583-6848
Practice Address - Street 1:1602 N ELM ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:KS
Practice Address - Zip Code:67045-1090
Practice Address - Country:US
Practice Address - Phone:620-583-7436
Practice Address - Fax:620-583-6848
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46062363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care