Provider Demographics
NPI:1760635437
Name:HYLTON, DEBBIEANN NICOLE NATAILE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIEANN
Middle Name:NICOLE NATAILE
Last Name:HYLTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-5542
Mailing Address - Country:US
Mailing Address - Phone:718-810-7918
Mailing Address - Fax:
Practice Address - Street 1:28 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-5542
Practice Address - Country:US
Practice Address - Phone:718-810-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275465164W00000X
NY22 722615282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010556898Medicaid