Provider Demographics
NPI:1922776335
Name:HILBURN, RICHARD HARVEY JR (RN)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:HARVEY
Last Name:HILBURN
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 COUPLAND RD
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-4707
Mailing Address - Country:US
Mailing Address - Phone:205-577-7178
Mailing Address - Fax:
Practice Address - Street 1:715 COUPLAND RD
Practice Address - Street 2:
Practice Address - City:ODENVILLE
Practice Address - State:AL
Practice Address - Zip Code:35120-4707
Practice Address - Country:US
Practice Address - Phone:205-577-7178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program