Provider Demographics
NPI:1760894620
Name:HILDNER, BREE
Entity Type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:HILDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRUDUO
Other - Middle Name:
Other - Last Name:HOME CARE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1846 BACON AVE
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1060
Mailing Address - Country:US
Mailing Address - Phone:248-259-4940
Mailing Address - Fax:
Practice Address - Street 1:1846 BACON AVE
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1060
Practice Address - Country:US
Practice Address - Phone:248-259-4940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion