Provider Demographics
NPI:1710215686
Name:HILLERS, ERIN E (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:HILLERS
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11664 MADISON COUNTY CIR
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-6756
Mailing Address - Country:US
Mailing Address - Phone:574-849-7610
Mailing Address - Fax:
Practice Address - Street 1:3100 N FEDERAL HWY STE 211-I
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6738
Practice Address - Country:US
Practice Address - Phone:203-747-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003139A2083A0300X, 363LP0808X, 367A00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000780821OtherBCBS
IN200346930Medicaid
IN200985560Medicaid
IN187670001Medicare PIN