Provider Demographics
NPI:1730302316
Name:HILL, PATSY LORENE (CRNA)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:LORENE
Last Name:HILL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24516 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20636-2015
Mailing Address - Country:US
Mailing Address - Phone:301-373-4933
Mailing Address - Fax:301-373-4933
Practice Address - Street 1:24516 MORGAN RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-2015
Practice Address - Country:US
Practice Address - Phone:301-373-4933
Practice Address - Fax:301-373-4933
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR141920367500000X
VA0024110508367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered