Provider Demographics
NPI:1861484479
Name:HILL, SHARON LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:HILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 COUNTY ROAD 1466
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-0795
Mailing Address - Country:US
Mailing Address - Phone:256-739-9711
Mailing Address - Fax:256-739-9737
Practice Address - Street 1:1205 COUNTY ROAD 1466
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0795
Practice Address - Country:US
Practice Address - Phone:256-739-9711
Practice Address - Fax:256-739-9737
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-060379363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
500019444OtherMEDICARE - RAILROAD
AL000051798Medicaid
AL51051798OtherBLUE CROSS BLUE SHIELD
AL000051798Medicaid
AL51051798OtherBLUE CROSS BLUE SHIELD