Provider Demographics
NPI:1760716104
Name:HILLS, PATRICIA (PNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7755 ROUTE 83
Mailing Address - Street 2:PINE VALLEY CENTRAL SCHOOL
Mailing Address - City:SOUTH DAYTON
Mailing Address - State:NY
Mailing Address - Zip Code:14138-9633
Mailing Address - Country:US
Mailing Address - Phone:716-988-3291
Mailing Address - Fax:
Practice Address - Street 1:7755 ROUTE 83
Practice Address - Street 2:PINE VALLEY CENTRAL HIGH SCHOOL
Practice Address - City:SOUTH DAYTON
Practice Address - State:NY
Practice Address - Zip Code:14138-9633
Practice Address - Country:US
Practice Address - Phone:716-988-3291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236732163W00000X
NYF380369363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse