Provider Demographics
NPI:1629582168
Name:FUTTERMAN, HILDA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:FUTTERMAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 MARINER
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-4351
Mailing Address - Country:US
Mailing Address - Phone:512-261-1261
Mailing Address - Fax:
Practice Address - Street 1:BROOK ARMY MEDICAL CENTER
Practice Address - Street 2:2492 STANLEY ROAD
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-0040
Practice Address - Fax:210-539-2107
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-20
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily