Provider Demographics
NPI:1831642784
Name:MILLS, HILLARY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 HARBOR OAK DR
Mailing Address - Street 2:APT 32
Mailing Address - City:TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-1853
Mailing Address - Country:US
Mailing Address - Phone:207-632-2976
Mailing Address - Fax:
Practice Address - Street 1:1725 MONTGOMERY ST
Practice Address - Street 2:#200
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-1030
Practice Address - Country:US
Practice Address - Phone:415-666-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily