Provider Demographics
NPI:1821668609
Name:HILL, EOLANDE BRIANNE
Entity Type:Individual
Prefix:
First Name:EOLANDE
Middle Name:BRIANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6635 FORT KING RD APT 111
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4847
Mailing Address - Country:US
Mailing Address - Phone:813-602-3844
Mailing Address - Fax:
Practice Address - Street 1:6635 FORT KING RD APT 111
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-4847
Practice Address - Country:US
Practice Address - Phone:813-602-3844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL371083376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide